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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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
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RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
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UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
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RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
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DES-DV-PP | Arizona DES Domestic Violence Policy and Procedure Manual | 08/23/2022 |
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TANF Plan 2020 | TANF State Plan Effective October 1, 2020 | 08/10/2022 |
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Statistical Bulletin June 2022 | Statistical Bulletin June 2022 | 08/03/2022 |
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6AAC12-5YRR 2022 | Five-Year Review Report - TANF Cash Assistance | 08/03/2022 |
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HRP-1028A-S | Solicitud para Beneficios (TEFAP, CSFP) | 08/01/2022 |
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HRP-1028A | Application for Benefits (TEFAP, CSFP) | 08/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1015A-S | Withdrawal or Termination Request (Spanish) | 07/01/2018 |
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DDD-1727A | Direct Service Position (English) | 07/01/2018 |
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DDD-1406A | Career Preparation and Readiness - Quarterly Report | 06/01/2018 |
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DDD-1406C | Career Preparation and Readiness - Individual Training Agreement | 06/01/2018 |
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DDD-1661B | Prior Authorization | 06/01/2018 |
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DDD-1406B | Career Preparation and Readiness - Six-Month Report | 06/01/2018 |
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DD-024 | Developmental Home Progress Report | 06/01/2018 |
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DDD-1404C | Employment Support Aide - Quality Assurance Review | 05/01/2018 |
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CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers | 05/01/2018 |
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PPP-1063A | HIPAA Privacy Complaints (English) | 05/01/2018 |
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