You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
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FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
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FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
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FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
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FAA-1506A | Statement of No Income (English) | 05/01/2023 |
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FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
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FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
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FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
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CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
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GCI-1033A | Transition Conference Summary | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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DDD-1986A-S | PRC Contact Information (Spanish) | 01/01/2022 |
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DDD-1857A | Residential Services Option Comparison | 12/01/2021 |
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DDD-1857A-S | Comparación de opciones de servicios residenciales | 12/01/2021 |
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AAA-1381A | Arizona Caregiver Coalition Quarterly Summary Report | 12/01/2021 |
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CCA-1235A | CCA Change Report | 11/01/2021 |
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CCA-1235A-S | CCA Informe de Cambios | 11/01/2021 |
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CCA-0041A | Fair Hearing Request | 11/01/2021 |
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DDD-1984A | Behavior Plan / Packet Requirements (English) | 11/01/2021 |
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CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
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CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
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