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Reports, Forms, Pamphlets and Policies

You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services. 

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  1. Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down. 
  2. Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks. 
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Number Document Name Effective Date
GCI-1041A-S Consentimiento para el Uso del Seguro de Salud 05/01/2023
FAA-1506A-S Statement of No Income (Spanish) 05/01/2023
FAA-0065A-SXLP Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) 05/01/2023
FAA-1565A Nutrition Assistance Drug Testing Agreement 05/01/2023
FAA-1725A Verification of Other Income 05/01/2023
FAA-1701A Verification of Terminated Employment (English) 05/01/2023
FAA-0574A-S Retirar o Suspender Beneficios/Solicitud de Apelación 05/01/2023
FAA-1765A Authority to Release Information 05/01/2023
CCA-1163A Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) 05/01/2023
FAA-1768A-S Formulario de Solicitud de Reducción de Pago en Exceso 05/01/2023

Number Document Name Effective Date
GCI-1088A-S Guía de Evaluación para los Niños y sus Familias 06/01/2020
CSE-1314A Child Supplemental Page (English / Spanish) 06/01/2020
GCI-1118A Arizona Early Intervention Program Non-DES Employee Training Planning and Tracking Form (English) 06/01/2020
GCI-1020A Authorization to Disclose Protected Health Information 05/01/2020
GCI-1039A Consent to Obtain Information 05/01/2020
GCI-1039AS Autorización para Obtener Información 05/01/2020
AAA-1355A APS Registry Employer Certification Form 05/01/2020
ESA-1126A Cancellation of Direct Deposit (English) 04/01/2020
ESA-1126A-S Cancellation of Direct Deposit (Spanish) 04/01/2020
CCA-1268A Scholarship Reimbursement Rates 04/01/2020

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