You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
CCA-1190A | Tribal New Child Care Referral | 07/01/2023 |
CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care (English) | 07/01/2023 |
GCI-1148A | Directory of Early Intervention Programs (English) | 07/01/2023 |
FAA-1825A | Elderly Simplified Application Project (ESAP) Flyer | 07/01/2023 |
LCR-1041A-S | Retiro Voluntario de la Solicitud de Licenciamiento o Cierre Voluntario de Licencia | 07/01/2023 |
FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
FAA-1415A-LP | Illegal Drug Use Statement - Large Print (English) | 07/01/2023 |
FAA-1410A-XLP | Grant Diversion Script and Applicant Agreement (Extra Large Print) | 07/01/2023 |
CCA-1176A-S | Parent/Guardian Affidavit of Non-Compensated Child Care (Spanish) | 07/01/2023 |
FAA-1818A | Nutrition Assistance (NA) Medical Expense Deduction | 07/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
GCI-1098A | AzEIP Public Awareness Materials Order Form | 11/01/2021 |
CCA-0024A | Employment and Wage Verification Statement (English) | 11/01/2021 |
CCA-1235A | CCA Change Report | 11/01/2021 |
CCA-1235A-S | CCA Informe de Cambios | 11/01/2021 |
SNA-1066A | Voluntary Participation Agreement (English) | 10/01/2021 |
DDD-1661A | DDD Tribal Health Program (THP) Equipment and Supplies Prior Authorization | 10/01/2021 |
DDD-2101A-S | Electronic Visit Verification (EVV) Paper Timesheet Attestation (Spanish) | 09/01/2021 |
LCR-1079A | Developmental Home Compliance Review | 09/01/2021 |
DDD-2102A | Electronic Visit Verification (EVV) Designee Attestation (English) | 09/01/2021 |
CSE-1129A | Electronic Payment Authorization (English) | 09/01/2021 |
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