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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CC-214-A | Relative Child Care Provider Rate Agreement | 11/01/2022 |
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CCA-1200A | About Me Questionnaire (English) | 11/01/2022 |
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CC-214-A-S | Acuerdo de Tarifa para Parientes Proveedores de Cuidado de Niños | 11/01/2022 |
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CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
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CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
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CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
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CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
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CCA-0223A | Non-Certified Relative Provider (NCRP) Requirements (English/Spanish) | 09/01/2022 |
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CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
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CCA-1307A | How to Access CCEI for Training Frequently Asked Questions (English) | 08/01/2022 |
Download | Number | Name | Effective Date |
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CCA-1186A | Authority to Release Information | 11/01/2021 |
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CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
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CCA-1212A | Direct Service Position (Certification Form) | 07/01/2021 |
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CCA-1212A-S | Puesto de Servicio Directo (Formulario de certificación) | 07/01/2021 |
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CCA-1276A-S | Action Plan (Spanish) | 06/01/2021 |
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CCA-1276A | Action Plan (English) | 06/01/2021 |
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CCA-1287A-S | Registro de Simulacros de Evacuación de Emergencia | 05/01/2021 |
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CCA-1211B | Attachment to Request for Search of Background Checks (CCA-1211A) Disqualifying Acts (English) | 04/01/2021 |
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CCA-1211B-S | Attachment to Request for Search of Background Checks (CCA-1211A-S) Disqualifying Acts (Spanish) | 04/01/2021 |
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CCA-1234A | Family Child Care Home Backup Provider Backup, Discipline, and Transportation Agreement | 04/01/2021 |
Download | Number | Name | Effective Date |
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Statistical Bulletin June 2023 | Statistical Bulletin June 2023 | 07/25/2023 |
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GCBVI 2022 | Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2022 | 07/20/2023 |
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CCA Applications & Denials Report | Child Care Assistance Applications and Denials Report | 07/07/2023 |
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30th Month May 2023 | 30th Month Financial Report FY 2023 through May 2023 | 06/28/2023 |
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Statistical Bulletin May 2023 | Statistical Bulletin May 2023 | 06/22/2023 |
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30th Month April 2023 | 30th Month Financial Report FY 2023 through April 2023 | 06/01/2023 |
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Statistical Bulletin April 2023 | Statistical Bulletin April 2023 | 05/17/2023 |
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LIHWAP FY23 | Low Income Household Water Assistance Program (LIHWAP) Plan | 05/12/2023 |
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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 |
Download | Number | Name | Effective Date |
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VR-4.2 | 4.2 Timelines for Individualized Plan for Employment (IPE) Development | 03/31/2021 |
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VR-8.4 | 8.4 Assessments: Comprehensive Neurorehabilitation | 03/31/2021 |
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VR-1.1 | 1.1 Mission/Vision Statement | 03/31/2021 |
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VR-8.5 | 8.5 Assessments: Psychology/Psychiatric/Mental Health | 03/31/2021 |
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VR-10.3 | 10.3 Basic Education & Literacy | 03/31/2021 |
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VR-13.4 | 13.4 Home Modifications | 03/31/2021 |
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VR-4.5.1 | 4.5.1 Self-Employment - Assessment, Business Concept Overview Development, Review and Approval Process | 03/31/2021 |
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VR-1.2 | 1.2 Structural Base | 03/31/2021 |
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VR-8.6 | 8.6 Assessments: Rehabilitative Services | 03/31/2021 |
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VR-10.4 | 10.4 Academic Tutoring | 03/31/2021 |
Download | Number | Name | Effective Date |
---|---|---|---|
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FAA-1853A | Nutrition Assistance Programs for Eligible Participants - Color (English) | 05/01/2024 |
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JOB-1135A-S | Arizona Jobs Program (Spanish) | 05/01/2024 |
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FAA-1853A | Nutrition Assistance Programs for Eligible Participants - Black/White (English) | 05/01/2024 |
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ESA-1322A | Hilton Honors Military Program (English) | 05/01/2024 |
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FAA-1814A-S | Customer Informational Packet (Spanish) | 05/01/2024 |
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WIO-1250A-S | Referral to SNAP CAN (Spanish) | 05/01/2024 |
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DDD-2292A | Decision-Making for Adults (English) | 05/01/2024 |
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FAA-1814A | Customer Informational Packet (English) | 05/01/2024 |
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FAA-1853A-S | Nutrition Assistance Programs for Eligible Participants - Color (Spanish) | 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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