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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FAA-0001A | Application for Benefits (English) | 05/01/2024 |
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FAA-1045A | How to Use Your Arizona EBT Card (English) | 05/01/2024 |
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DES-1139A | Services Provided by DES (English) | 05/01/2024 |
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OEO-1024A | Title II Grievance Form (English) | 05/01/2024 |
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FAA-1045A-LP | How to Use Your Arizona EBT Card - Large Print (English) | 05/01/2024 |
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FAA-1045A-SLP | How to Use Your Arizona EBT Card - Large Print (Spanish) | 05/01/2024 |
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FAA-1045A-XLP | How to Use Your Arizona EBT Card - Extra Large Print (English) | 05/01/2024 |
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FAA-1045A-SXLP | How to Use Your Arizona EBT Card - Extra Large Print (Spanish) | 05/01/2024 |
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CBC-1000A | Arizona Centralized Background Checks (CBC) - Individual User Guide (English) | 05/01/2024 |
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DES-1139A-S | Services Provided by DES (Spanish) | 05/01/2024 |
Download | Number | Name | Effective Date |
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FAA-0098A | Hearing Request (English) | 03/01/2024 |
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CCA-0224A | Tribal CPS Child Care Referral / To: Child Care Administration (English) | 03/01/2024 |
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AAA-1253A | Ombudsman Re-Designation Checklist (English) | 02/02/2024 |
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FAA-0001A-S | Application for Benefits (Spanish) | 02/01/2024 |
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HRP-1013A | The Emergency Food Assistance Program Household Distribution Site Sign-In Sheet (English/Spanish) | 02/01/2024 |
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HRP-1037A-S | Commodity Senior Food Program (CSFP) Recertification Notice (Spanish) | 02/01/2024 |
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LCR-1023A | Life-Safety Inspection Report (English) | 02/01/2024 |
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GCI-1089A | AzEIP Incident Report (English) | 02/01/2024 |
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HRP-1037A | Commodity Senior Food Program (CSFP) Recertification Notice (English) | 02/01/2024 |
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LCR-1023A-S | Life-Safety Inspection Report (Spanish) | 02/01/2024 |
Download | Number | Name | Effective Date |
---|---|---|---|
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SSBG Plan 2023-2024 | Draft SSBG Plan 2023-2024 | 05/08/2023 |
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30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
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Statistical Bulletin March 2023 | Statistical Bulletin March 2023 | 04/21/2023 |
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LIHEAP Plan FY23 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/19/2023 |
test-0004 | test report | 04/01/2023 | |
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30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
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SCSEP State Plan 2020-2023 | Senior Community Service Employment Program (SCSEP) State Plan 2020-2023 | 03/15/2023 |
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Statistical Bulletin February 2023 | Statistical Bulletin February 2023 | 03/10/2023 |
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30th Month January 2023 | 30th Month Financial Report FY 2023 through January 2023 | 03/06/2023 |
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Statistical Bulletin January 2023 | Statistical Bulletin January 2023 | 02/28/2023 |
Download | Number | Name | Effective Date |
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VR-12.5 | 12.5 Personal Assistance Services | 03/31/2021 |
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VR-16.1 | 16.1 Service Provider Requirements | 03/31/2021 |
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VR-2.7 | 2.7 Voter Registration | 03/31/2021 |
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VR-9.6 | 9.6 Treatments: Dental | 03/31/2021 |
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VR-12.6 | 12.6 Child Care Services | 03/31/2021 |
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VR-2.8 | 2.8 Schedule A Documentation | 03/31/2021 |
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VR-9.7 | 9.7 Treatments: Neurorehabilitation | 03/31/2021 |
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VR-2.12 | 2.12 Disability Benefits Calculator (DB101) | 03/31/2021 |
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VR-8.1 | 8.1 Assessments: General | 03/31/2021 |
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VR-9.8 | 9.8 Treatments: Medical Equipment | 03/31/2021 |
Download | Number | Name | Effective Date |
---|---|---|---|
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FAA-1814A | Customer Informational Packet (English) | 05/01/2024 |
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AzEIP-TAB-04042024 | AzEIP Cover Sheet for DDD Application for Eligibility Determination Technical Assistance Bulletin | 04/04/2024 |
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WIO-1194A-S | WFTC Year in Review (Spanish) | 04/01/2024 |
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CBC-1001A | CBC Quick Setup - Individual (English) | 04/01/2024 |
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CBC-1003A | CBC Quick Setup Guide Employer and Agency (English) | 04/01/2024 |
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CCA-1324A | Become A Child Care Provider (English) | 04/01/2024 |
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WIO-1194A | Wilson Fish TANF Coordination Program in Review (English) | 04/01/2024 |
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CCA-1324A-S | Become A Child Care Provider (Spanish) | 04/01/2024 |
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HRP-1064A | The Commodity Senior Food Program (English/Spanish) | 04/01/2024 |
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CCA-1323A | Become A Child Care Provider (English) | 04/01/2024 |
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