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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
DDD-2076A DDD Health Plan Care Management Referral 09/01/2020
LCR-1025A Application for Initial HCBS Certification 09/01/2020
HRP-1053A CSFP Annual Agreement- CHRP/RFB 09/01/2020
LCR-1025A-S Solicitud para Certificación Inicial de HCBS 09/01/2020
CCA-1271A-S Consentimiento de Servicio para padres de AZ STEPS 09/01/2020
CCA-1272A-S Reconocimiento de los padres de AZ STEPS 09/01/2020
UIB-1244A Initial Application for Pandemic Unemployment Assistance 09/01/2020
UB-106A Weekly Claim for Unemployment Insurance (UI) Benefits 09/01/2020
UB-106A-S Reclamo Semanal para Beneficios de Seguro por Desempleo (UI por sus siglas en inglés) 09/01/2020
GCI-1059A Unable to Process Letter 08/01/2020

Download Number Name Effective Date
Family Support Program 2019 DDD Family Support Program Annual Report 2019 09/27/2019
Statistical Bulletin August 2019 Statistical Bulletin August 2019 09/26/2019
CHRP Policy and Procedure Manual Arizona Coordinated Hunger Relief - The Emergency Food Assistance Program (TEFAP) Commodity Senior Food Program (CSFP) Policy and Procedure Manual 09/23/2019
FY2021-Budget Fiscal Year 2021 DES Budget Request 09/05/2019
DES Welfare-2019 SFY 2019 Annual Welfare Reform Report 08/28/2019
Statistical Bulletin July 2019 Statistical Bulletin July 2019 08/23/2019
EEO Utilization Report Equal Employment Opportunity Utilization Report 08/16/2019
30th Month Mar 2019 30th Month Financial Report FY 2019 through Mar 2019 07/26/2019
30th Month Apr 2019 30th Month Financial Report FY 2019 through Apr 2019 07/26/2019
30th Month May 2019 30th Month Financial Report FY 2019 through May 2019 07/26/2019

No results available.

Download Number Name Effective Date
FAA-1492A Authorized Representatives - Rights & Responsibilities 06/01/2020
CSE-1209B How to make a payment 06/01/2020
GCI-1070A Child and Family Rights in the Arizona Early Intervention Program 05/01/2020
HRP-1047A-S Programa Suplementario de Comestibles Básicos (CSFP) de Arizona 05/01/2020
DES-1198A Human Services Campus 05/01/2020
HRP-1047A Arizona Commodity Senior Food Program (CSFP) 05/01/2020
GCI-1117A AZEIP is accepting Referrals during COVID-19 Crisis 04/01/2020
FAA-1775A How Do I File a Complaint (English/Spanish) 04/01/2020
GCI-1117A-S AZEIP está aceptando referencias durante la crisis COVID-19 04/01/2020
ESA-1353A Federal Bonding Program 03/01/2020


No results available.


Download Number Name Effective Date
FAA-1788A Proof of Eligibility Card 11/01/2020
FAA-1788A-S Tarjeta de Prueba de Elegibilidad 11/01/2020
CSE-1051A How to Apply for IV-D Child Support Services 11/01/2020
UIB-1243A-S Manual del programa de asistencia de desempleo pandemico 11/01/2020
AAA-1035A Arizona Long-Term Care Ombudsman Program 11/01/2020
CSE-1051A-S Cómo Solicitar Servicios de Sustento para Menores Bajo el Título IV-D 11/01/2020
AAA-1035A-S Programa del Ombudsman de Cuidado a Largo Plazo de Arizona 11/01/2020
FAA-1513A Time Saving Tips 11/01/2020
FAA-1513A-LP Time Savings Tips (Large Print) 11/01/2020
UB-010 Eligibility Review Questionnaire 11/01/2020

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