You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
FAA-1765A | Authority to Release Information | 05/01/2023 |
AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
FAA-1546A | Sponsor Deeming Information (English) | 05/01/2023 |
FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
CCA-0221A | Family Child Care Provider Statement of Services | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
LCR-1030A | Request to Withdraw HCBS Certification | 10/01/2020 |
CCA-1272A | AZ STEPS Parent Acknowledgement | 09/01/2020 |
LCR-1025A-S | Application for Initial HCBS Certification (Spanish) | 09/01/2020 |
CCA-1272A-S | Reconocimiento de los padres de AZ STEPS | 09/01/2020 |
WIO-1031A | Training Program Credential Checklist (English) | 09/01/2020 |
J-020 | Discrimination Complaint- Clients, Applicants and Contractors (English) | 08/01/2020 |
J-020-S | Discrimination Complaint- Clients, Applicants and Contractors (Spanish) | 08/01/2020 |
J-020-SLP | Discrimination Complaint - Clients, Applicants and Contractors - Large Print (Spanish) | 08/01/2020 |
CCA-1269A | Sworn Statement by the Registered Family Child Care (FCC) Provider | 08/01/2020 |
GCI-1083A | Consent for Child Assessment | 08/01/2020 |
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