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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UB-106-T-I | Completion Instructions for Approved Training Continued Claim, UB-106-T (English) | 11/01/2023 |
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DDD-2256A | Support Coordination (English/Spanish) | 11/01/2023 |
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FAA-1530A-S | Nutrition Assistance Able Bodied Adult Without Dependents (ABAWD) Time Limits (Spanish) | 11/01/2023 |
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UB-106-T-I-S | Completion Instructions for Approved Training Continued Claim, UB-106-T (Spanish) | 11/01/2023 |
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RRP-1017A | Program Participants Application for Recertification (English) | 11/01/2023 |
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GCI-1186A | Autism Screenings AzEIP Programmatic Meeting - October 2023 (English) | 11/01/2023 |
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RRP-1018A | Client Employment & Income Attestation Form (English) | 11/01/2023 |
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FAA-1530A-LP | Nutrition Assistance Able Bodied Adult Without Dependents (ABAWD) Time Limits - Large Print (English) | 11/01/2023 |
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EAP-1006A-S | LIHEAP Portable Fuel Certification (Spanish) | 11/01/2023 |
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GCI-1185A | Transition AzEIP Programmatic Meeting (English) | 11/01/2023 |
Download | Number | Name | Effective Date |
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FAA-1493A-SXLP | Authorized Representative Request - Extra Large Print (Spanish) | 06/01/2023 |
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
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FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
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FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
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FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
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FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
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FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
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FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
Download | Number | Name | Effective Date |
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Statistical Bulletin June 2017 | Statistical Bulletin June 2017 | 07/26/2017 |
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30th Month May-2017 | 30th Month Report May Fiscal Year 2017 | 07/14/2017 |
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SSBG Plan 2017-2018 | Social Services Block Grant Plan 2017-2018 | 07/01/2017 |
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30th Month Apr-2017 | 30th Month Report April Fiscal Year 2017 | 06/21/2017 |
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Statistical Bulletin May 2017 | Statistical Bulletin May 2017 | 06/14/2017 |
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APS SFY 2016 | Adult Protective Services Annual Activity 2016 Report | 06/01/2017 |
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2016 Homeless Lottery Funds Report | 2016 Homeless Lottery Funds Report | 06/01/2017 |
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DVS-1004A | Domestic Violence Monies Dec 2016 (English) | 06/01/2017 |
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6AAC3 | Five-year Review Report – Unemployment Insurance | 05/27/2017 |
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6AAC8 | Five-year Review Report - Aging and Adult Administration | 05/19/2017 |
Download | Number | Name | Effective Date |
---|---|---|---|
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EAP-1000A | Need Help Paying Your Energy Bill | 10/01/2022 |
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ETA-086 | Disaster Unemployment Assistance Handbook | 10/01/2022 |
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AAA-1034A | Contact Your Local Ombudsman Program | 10/01/2022 |
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AAA-1034A-S | Comuníquese con el Programa de ombudsman local | 10/01/2022 |
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AAA-1035A | Arizona Long-Term Care Ombudsman Program (English) | 10/01/2022 |
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AAA-1035A-S | Arizona Long-Term Care Ombudsman Program (Spanish) | 10/01/2022 |
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GCI-1070A | Child and Family Rights in the Arizona Early Intervention Program (English) | 10/01/2022 |
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GCI-1070A-S | Child and Family Rights in the Arizona Early Intervention Program (Spanish) | 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-1101A | Child Care Providers in Arizona | 09/01/2022 |
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