You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
LCR-1051A | Permission for Transfer of Record | 04/01/2023 |
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AAA-1199A | SHIP/SMP Client Contact | 04/01/2023 |
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CCA-1313A | Child Care Assistance for Full-Time Students | 04/01/2023 |
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UIB-1263A | Request for Overpayment Waiver (English) | 04/01/2023 |
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LCR-1051A-S | Permiso Para Transferir el Archivo | 04/01/2023 |
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UIB-1263A-S | Request for Overpayment Waiver (Spanish) | 04/01/2023 |
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FAA-1004A-LP | Designation of EBT Alternate Card Holder - Large Print (English) | 04/01/2023 |
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DDD-2193A | Navigating the System Promotion Flyer (English) | 04/01/2023 |
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CCA-1175A-S | Autorización Para Operar un Servicio de Cuidado de Niños | 04/01/2023 |
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DDD-1659A | Agency With Choice: Partnership Agreement (English) | 04/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-0201A-S | Declaración de Certificación para Proveer Servicios de Cuidado de Niños | 12/01/2020 |
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CSE-0258A | Affidavit of Paternity Rescission (English/Spanish) | 12/01/2020 |
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CCA-1277A | Sample Child Care Provider Expulsion Prevention Policy (English) | 11/01/2020 |
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CCA-1277A-S | Sample Child Care Provider Expulsion Prevention Policy (Spanish) | 11/01/2020 |
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LCR-1063A | Developmental Home License Denial, Revocation or Suspension Hearing Request | 10/01/2020 |
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LCR-1063A-S | Petición Audiencia Sobre Denegación, Revocación o Suspensión de Certificación de Hogar de o Comunitario | 10/01/2020 |
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LCR-1030A | Request to Withdraw HCBS Certification | 10/01/2020 |
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WIO-1031A | Training Program Credential Checklist (English) | 09/01/2020 |
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LCR-1025A-S | Application for Initial HCBS Certification (Spanish) | 09/01/2020 |
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CCA-1272A-S | Reconocimiento de los padres de AZ STEPS | 09/01/2020 |
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