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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LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
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30th Month December 2022 | 30th Month Financial Report FY 2023 through December 2022 | 01/31/2023 |
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2022 Homeless Lottery Funds Report | 2022 Homeless Lottery Funds Report | 01/30/2023 |
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Annual Report on Homelessness 2022 | Annual Report on Homelessness 2022 | 01/30/2023 |
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Statistical Bulletin December 2022 | Statistical Bulletin December 2022 | 01/25/2023 |
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AzEIP-TAB-01062023 | DDD Eligibility Application for Children with DCS Technical Assistance Bulletin | 01/06/2023 |
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AzEIP-TAW-01062023 | AzEIP/DDD Eligibility Application Webinar | 01/06/2023 |
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CSE-0016A | Certified Public Expenditures Statement | 01/01/2023 |
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RSA-1447A | Older Individuals who are Blind Program (full page flyer) | 01/01/2023 |
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RSA-1448A | Older Individuals who are Blind Program (1/2 page flyer) | 01/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UB-099-Y | Certification of Understanding (English / Spanish) | 07/01/2019 |
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CCA-1260A | Back Up Provider Application | 07/01/2019 |
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LCR-1007A | Home Visit Report Supplement to Notice of Inspection and Due Process Rights | 07/01/2019 |
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CCA-1261A | Certified Family Child Care Provider Application | 07/01/2019 |
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RSA-1312A | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
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LCR-1007A-S | Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso | 07/01/2019 |
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GCI-1049A | No Contact Letter | 07/01/2019 |
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RSA-1312A-S | Autorización Para Divulgación De Información De Salud a RSA | 07/01/2019 |
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RSA-1367A | Appeal Rights | 06/01/2019 |
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RSA-1367A-LP | Appeal Rights (Large Print) | 06/01/2019 |
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