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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CC-214-A | Relative Child Care Provider Rate Agreement | 11/01/2022 |
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CCA-1200A | About Me Questionnaire (English) | 11/01/2022 |
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CC-214-A-S | Acuerdo de Tarifa para Parientes Proveedores de Cuidado de Niños | 11/01/2022 |
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CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
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CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
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CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
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CCA-1021A-S | Informe de Copagos Atrasados | 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-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
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CCA-1307A | How to Access CCEI for Training Frequently Asked Questions (English) | 08/01/2022 |
Download | Number | Name | Effective Date |
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CCA-1235A | CCA Change Report | 11/01/2021 |
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CCA-1235A-S | CCA Informe de Cambios | 11/01/2021 |
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CCA-1212A | Direct Service Position (Certification Form) | 07/01/2021 |
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CCA-1212A-S | Puesto de Servicio Directo (Formulario de certificación) | 07/01/2021 |
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CCA-1276A-S | Action Plan (Spanish) | 06/01/2021 |
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CCA-1276A | Action Plan (English) | 06/01/2021 |
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CCA-1287A-S | Registro de Simulacros de Evacuación de Emergencia | 05/01/2021 |
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CCA-1211B | Attachment to Request for Search of Background Checks (CCA-1211A) Disqualifying Acts (English) | 04/01/2021 |
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CCA-1211B-S | Attachment to Request for Search of Background Checks (CCA-1211A-S) Disqualifying Acts (Spanish) | 04/01/2021 |
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CCA-1234A | Family Child Care Home Backup Provider Backup, Discipline, and Transportation Agreement | 04/01/2021 |
Download | Number | Name | Effective Date |
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Statistical Bulletin June 2023 | Statistical Bulletin June 2023 | 07/25/2023 |
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GCBVI 2022 | Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2022 | 07/20/2023 |
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CCA Applications & Denials Report | Child Care Assistance Applications and Denials Report | 07/07/2023 |
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30th Month May 2023 | 30th Month Financial Report FY 2023 through May 2023 | 06/28/2023 |
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Statistical Bulletin May 2023 | Statistical Bulletin May 2023 | 06/22/2023 |
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30th Month April 2023 | 30th Month Financial Report FY 2023 through April 2023 | 06/01/2023 |
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Statistical Bulletin April 2023 | Statistical Bulletin April 2023 | 05/17/2023 |
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LIHWAP FY23 | Low Income Household Water Assistance Program (LIHWAP) Plan | 05/12/2023 |
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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 |
Download | Number | Name | Effective Date |
---|---|---|---|
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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-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-2.12 | 2.12 Disability Benefits Calculator (DB101) | 03/31/2021 |
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VR-8.2 | 8.2 Assessments: Audiology/Ear, Nose & Throat (ENT) | 03/31/2021 |
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VR-9.8 | 9.8 Treatments: Medical Equipment | 03/31/2021 |
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VR-12.8 | 12.8 Other Services | 03/31/2021 |
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VR-4.4 | 4.4 Supported Employment IPE Development | 03/31/2021 |
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VR-4.1 | 4.1 Legal Ability to Work in the US | 03/31/2021 |
Download | Number | Name | Effective Date |
---|---|---|---|
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FAA-1045A-SXLP | How to Use Your Arizona EBT Card - Extra Large Print (Spanish) | 05/01/2024 |
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CSE-1319A-S | AZCARES Employer Portal FAQs (Spanish) | 05/01/2024 |
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FAA-1853A | Nutrition Assistance Programs for Eligible Participants - Color (English) | 05/01/2024 |
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FAA-1853A | Nutrition Assistance Programs for Eligible Participants - Black/White (English) | 05/01/2024 |
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DES-1139A-S | Services Provided by DES (Spanish) | 05/01/2024 |
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WIO-1250A-S | Referral to SNAP CAN (Spanish) | 05/01/2024 |
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FAA-1812A | FAA Virtual Services Flyer (English) | 05/01/2024 |
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DDD-2292A | Decision-Making for Adults (English) | 05/01/2024 |
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FAA-1853A-S | Nutrition Assistance Programs for Eligible Participants - Color (Spanish) | 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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