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-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
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FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
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FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
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FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
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FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
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FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
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FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
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FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
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FAA-1055A | Spread the Word | 06/01/2023 |
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FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
Download | Number | Name | Effective Date |
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FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
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FAA-1494A | Authorized Representative Removal | 05/01/2023 |
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FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
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FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
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FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
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FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
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FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
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FAA-1494A-SLP | Remoción de un(a) Representante Autorizado(a) (Letra Grande) | 05/01/2023 |
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FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
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FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
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-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-12.5 | 12.5 Personal Assistance Services | 03/31/2021 |
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VR-2.8 | 2.8 Schedule A Documentation | 03/31/2021 |
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VR-12.6 | 12.6 Child Care Services | 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-9.7 | 9.7 Treatments: Neurorehabilitation | 03/31/2021 |
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VR-4.4 | 4.4 Supported Employment IPE Development | 03/31/2021 |
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VR-8.2 | 8.2 Assessments: Audiology/Ear, Nose & Throat (ENT) | 03/31/2021 |
Download | Number | Name | Effective Date |
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FAA-1853A-S | Nutrition Assistance Programs for Eligible Participants - Black/White (Spanish) | 05/01/2024 |
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DDD-2285A-S | Services While Traveling Out of State (Spanish) | 05/01/2024 |
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GCI-1157C | Instructions for Completing the Record Review Report/Prior Written Notice (English) | 05/01/2024 |
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JOB-1135A | Arizona Jobs Program (English) | 05/01/2024 |
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FAA-1814A-S | Customer Informational Packet (Spanish) | 05/01/2024 |
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DDD-2286A | How to Apply for An Arizona State Identification (ID) Card (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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