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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FAA-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
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PAD-465-C | Definitions for AHCCCS Members | 01/01/2018 |
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DDD-1795APAMPD | Dental Care Adult (Ages 21+) | 12/01/2016 |
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DDD-1698A | Dental Care Ages Birth - 21 (English) | 04/01/2015 |
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DDD-1698A-S | Dental Care Ages Birth - 21 (Spanish) | 04/01/2015 |
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FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
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FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
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HRP-1014A-S | Denuncia y Queja de los Derechos Civiles de USDA | 02/01/2022 |
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FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
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RSA-1367A-S | Derechos de Apelación | 06/01/2019 |
Download | Number | Name | Effective Date |
---|---|---|---|
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CCA-1260A-S | Solicitud de Proveedor Suplente | 07/01/2019 |
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LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
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FAA-1826A-S | Solicitud de Representante Autorizado(a) para Asistencia Nutricional (NA) | 06/01/2023 |
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FAA-1826A-SXLP | Solicitud de Representante Autorizado(a) para Asistencia Nutricional (NA) (Letra Extra Grande) | 06/01/2023 |
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FAA-1826A-SLP | Solicitud de Representante Autorizado(a) para Asistencia Nutricional (NA) (Letra Grande) | 06/01/2023 |
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DCS-1339A-S | Solicitud de Revisión Administrativa (Incautación de Propiedad) | 06/01/2022 |
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AAA-1345A-S | Solicitud del Programa de Reembolso al Cuidador Familiar de Arizona | 12/01/2022 |
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ETA-081-S | Solicitud Inicial de asistencia para desempleados por desastre | 09/01/2022 |
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HRP-1028A-S | Solicitud para Beneficios (TEFAP, CSFP) | 08/01/2022 |
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DES-1076AS | Solicitud Para La Búsqueda En El Registro Central Con Objetivo De Verificar Antecedentes | 03/01/2018 |
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