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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 |
|---|---|---|---|
|
LCR-1054A | Initial Application Worksheet | 10/01/2022 |
|
AAA-1034A | Contact Your Local Ombudsman Program | 10/01/2022 |
|
GCI-1147A | Records Request Response (AzEIP) | 10/01/2022 |
|
UB-106A-S | Reclamo Semanal para Beneficios de Seguro por Desempleo (UI por sus siglas en inglés) | 10/01/2022 |
|
ESA-1184A-S | Servicios de Empleo para Veteranos | 10/01/2022 |
|
VR-7.3 | 7.3 Economic Need | 09/30/2022 |
|
VR-13.2 | 13.2 Adaptive Driving Evaluation and Adaptive Driving Training | 09/30/2022 |
|
VR-13.3 | 13.3 Vehicle Modification | 09/30/2022 |
|
VR-13.1 | 13.1 Rehabilitation Technology | 09/30/2022 |
|
30th Month June 2022 | 30th Month Financial Report FY 2022 through June 2022 | 09/22/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CCA-1186A | Authority to Release Information | 11/01/2021 |
|
CCA-0024A-S | Declaración de Verificación de Sueldo y Empleo | 11/01/2021 |
|
CCA-0225A | Verification of Unable\Unavailable Status | 11/01/2021 |
|
J-119-Single | Data Sharing Request/Agreement (Single Division) | 11/01/2021 |
|
GCI-1098A | AzEIP Public Awareness Materials Order Form | 11/01/2021 |
|
DDD-1984A | Behavior Plan / Packet Requirements | 11/01/2021 |
|
DDD-1661A | DDD Tribal Health Program (THP) Equipment and Supplies Prior Authorization | 10/01/2021 |
|
DDD-1512A | Acknowledgment of Publications/Information | 10/01/2021 |
|
DDD-1512A-S | Reconocimiento de Publicaciones e Información | 10/01/2021 |
|
DDD-1512A-LP | Acknowledgment of Publications/Information (Large Print) | 10/01/2021 |
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