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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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Number	Document Name	Effective Date
ACF 812 Apr-June 2011	Engagement in Additional Activities Summary and Analysis ? April through June 2011	08/31/2011
CSBG State Plan SFY 2012	CSBG State Plan SFY 2012	09/09/2011
WIA 2010 Annual Report	WIA 2010 - Workforce Investment Act - 2010 Annual Report	10/01/2011
TANF State Plan Summary	TANF State Plan Effective October 1, 2011 Summary	10/01/2011
PAD-588-PD	Decisions About Your Health Care	11/01/2011
PAD-588-PDS	Decisiones sobre el cuidado de su salud	11/01/2011
DDD-1558A	Choking (Prevention is No Accident!) (English)	11/01/2011
UB-101-B-FFS	Afirmación del Plan de Acción para Búsqueda de Trabajo	11/01/2011
Rehabilitation Council Annual Report 2011	Governor's State Rehabilitation Council 2011 Annual Report	12/01/2011
Five Year Strategic Plan SFY 2013 - 2017	Five Year Strategic Plan SFY 2013 - 2017	12/05/2011

Number	Document Name	Effective Date
UC-010-FF	Installment Payment Agreement (English)	08/01/2017
DDD-1662A	Prior Authorization	09/01/2017
DDD-1403C	Individual Supported Employment - Quality Assurance Review (English)	11/01/2017
CCA-1061A	A Message for My Child Care Specialist	11/01/2017
CCA-1061A-S	Un Mensaje para mi Especialista en Cuidado de Niños	11/01/2017
DDD-1691A	Article 9 Instructor Application Packet (English)	11/01/2017
DDD-1403A	Individual Supported Employment - Quarterly Report (English)	11/01/2017
CS-124	Application for IV-D Service/Genetic Testing Agreement (English/Spanish)	12/01/2017
PPP-1127A	Authorization for Disclosure of Protected Health Information (English)	01/01/2018
LCR-1040A	Health Self-Disclosure/Physician's Statement (English)	01/01/2018

Number	Document Name	Effective Date
Statistical Bulletin July 2013	Statistical Bulletin July 2013	08/15/2013
Tribal Consultation Report 2013	Tribal Consultation Report 2013	09/04/2013
DES Welfare-2013	Annual Welfare Reform Report 2013	09/09/2013
Statistical Bulletin August 2013	Statistical Bulletin August 2013	09/12/2013
WIA 2012 Annual Report	Arizona PY12 WIA Title IB Annual Report	10/01/2013
Statistical Bulletin September 2013	Statistical Bulletin September 2013	10/15/2013
30th Month August 2013	30th Month Report August Fiscal Year 2014	10/30/2013
Statistical Bulletin October 2013	Statistical Bulletin October 2013	11/14/2013
30th Month September 2013	30th Month Report September Fiscal Year 2014	11/15/2013
Rehabilitation Council Annual Report 2013	Governor's State Rehabilitation Council 2013 Annual Report	12/01/2013

Number	Document Name	Effective Date
VR-1.4	1.4 Vocational Counseling and Guidance (VCG)	03/31/2022
AzEIP-TBEIS-Policy	AzEIP Team-Based Early Intervention Services (TBEIS) Policy Manual	04/01/2022
VR-15.2	15.2 Informal Review	06/30/2022
VR-9.5	9.5 Treatments: Psychology/Psychiatric/Mental Health	06/30/2022
VR-4.3	4.3 IPE Development	06/30/2022
VR-13.2	13.2 Adaptive Driving Evaluation and Adaptive Driving Training	09/30/2022
VR-7.3	7.3 Economic Need	09/30/2022
VR-13.3	13.3 Vehicle Modification	09/30/2022
VR-7.2	7.2 Comparable Benefits	12/30/2022
VR-11.4	11.4 Job Related Services	12/30/2022

Number	Document Name	Effective Date
DDD-2045A	DDD Member Councils	12/04/2019
DDD-2045A-S	Consejos de miembros de la DDD	12/04/2019
CSE-1312A	Child Support and Employers (Postcard)	01/01/2020
CSE-1313A	Child Support and Employers (Flyer)	01/01/2020
WIO-1114A	Second Chance Centers	01/01/2020
AAA-1341A-S	Ayuda local de Medicare	01/01/2020
CSE-1313A-S	Sustento para Menores y Empleadores (Volante)	01/01/2020
CSE-1312A-S	Sustento para Menores y Empleadores (Postal)	01/01/2020
FAA-1758A	FNS Certification Flyer (English/Spanish)	01/01/2020
AAA-1341A	Local Medicare Help	01/01/2020