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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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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
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FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
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FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
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DCAD-1004A-S | Self-Employment Income Statement (Spanish) | 02/01/2024 |
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DCAD-1004A | Self-Employment Income Statement (English) | 02/01/2024 |
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FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
|
CC-228 | Self-Employment Budget Record | 10/01/2018 |
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DDD-1505A | Seizure Record | 05/01/2009 |
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FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
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GCI-1084A-S | Seguimiento de la Revisión Auditiva | 06/01/2020 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-0098A-XLP | Hearing Request - Extra Large Print (English) | 09/01/2024 |
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FAA-0098A-S | Hearing Request (Spanish) | 09/01/2024 |
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FAA-0098A | Hearing Request (English) | 09/01/2024 |
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LCR-1040A-S | Health Self-Disclosure/Physician's Statement (Spanish) | 01/01/2018 |
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LCR-1040A | Health Self-Disclosure/Physician's Statement (English) | 01/01/2018 |
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PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
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DDD-2039A-S | HCBS Member Needs Assessment (Spanish) | 05/01/2022 |
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DDD-2039A-SLP | HCBS Member Needs Assessment (Spanish Large Print) | 05/01/2022 |
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DDD-2039A-LP | HCBS Member Needs Assessment (Large Print) | 05/01/2022 |
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DDD-2039A | HCBS Member Needs Assessment | 05/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
GCI-1007A-S | Arizona Early Intervention Program (AzEIP) (Spanish) | 07/01/2018 |
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GCI-1007A | Arizona Early Intervention Program (AzEIP) (English) | 07/01/2018 |
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CCA-1281A-S | Arizona DES Health and Safety Training-Child Care Education Institute (CCEI) (Spanish) | 07/01/2022 |
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CCA-1281A | Arizona DES Health and Safety Training-Child Care Education Institute (CCEI) (English) | 07/01/2022 |
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CCA-1338A | Arizona Department of Economic Security Emergency and Disaster Preparedness Plan (English) | 09/01/2024 |
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Arizona County Demographics Handbook 2020 | Arizona County Demographics Handbook 2020 | 12/22/2020 |
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CCA-1318A | Arizona Child Care Assistance Provider Decision Tool | 08/01/2023 |
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CBC-1000A-S | Arizona Centralized Background Checks (CBC) - Individual User Guide (Spanish) | 09/01/2024 |
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CBC-1000A | Arizona Centralized Background Checks (CBC) - Individual User Guide (English) | 09/01/2024 |
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CBC-1002A | Arizona Centralized Background Checks (CBC) - Employer and Agency User Guide (English) | 09/01/2024 |