You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number |
Name |
Effective Date |
---|---|---|---|
|
LCR-1028A | Agency Roster of Employees | 07/01/2023 |
|
DDD-1673A | Agency with Choice (AWC) Provider Training Request (English) | 04/01/2023 |
|
DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
|
DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
|
DDD-1659A | Agency With Choice: Partnership Agreement (English) | 04/01/2023 |
|
DDD-1659A-S | Agency With Choice: Partnership Agreement (Spanish) | 04/01/2023 |
|
SNA-1023A | Agreement for Work Experience Activities | 07/01/2017 |
|
CSE-1168A | Agreement to Accept Service by Mail - TANF Workshops | 09/01/2021 |
|
CSE-1281A | Agreement to Accept Service by Mail Paternity or Establishment (English/Spanish) | 09/01/2021 |
|
FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-0201A-S | Declaración de Certificación para Proveer Servicios de Cuidado de Niños | 12/01/2020 |
|
LCR-1056A-S | Declaración de Entendemiento del Solicitante par Hogar de Desarrollo para Niño o Adulto | 04/01/2023 |
|
LCR-1064A-S | Declaración de Entendimiento Solicitud de Certificación para HCBS | 03/01/2023 |
|
CCA-0221A-S | Declaración de Servicios del Proveedor de Cuidado en Casa de Familia | 05/01/2023 |
|
CSE-1290A-S | Declaración del Cuidador Referente a la Custodia Física de un Menor o Menores | 10/01/2023 |
|
EAP-1007A-S | Declaración del Solicitante de No Tener Ingresos | 04/01/2023 |
|
CCA-1176A-S | Declaración Jurada del Padre o Tutor por Cuidado de Niños no Remunerado | 07/01/2023 |
|
UIB-0101C-S | Declaración Jurada del Plan de Búsqueda de Trabajo | 07/01/2022 |
|
CCA-1269A-S | Declaración Jurada del Proveedor de Cuidado de Niños en el Hogar (FCC) Registrado | 08/01/2020 |
|
FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
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