You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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SPP-APR-C FFY2022 | State Performance Plan / Annual Performance Report: Part C FFY 2022 | 02/06/2024 |
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AAA-1253A | Ombudsman Re-Designation Checklist (English) | 02/02/2024 |
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30th Month December 2023 | 30th Month Financial Report FY 2024 through December 2023 | 02/02/2024 |
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DDD-0465A-S | Arizona Long Term Care System (ALTCS) Member Handbook (Spanish) | 02/01/2024 |
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GCI-1040A-S | Consent to Share Early Intervention Records and Information (Spanish) | 02/01/2024 |
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HRP-1013A | The Emergency Food Assistance Program Household Distribution Site Sign-In Sheet (English/Spanish) | 02/01/2024 |
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GCI-1188A | AzEIP Job Aid Service Coordinator Monthly Family Contact (English) | 02/01/2024 |
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UB-105 | Arizona Initial Claim for Unemployment Insurance (English) | 02/01/2024 |
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AAA-1059A | Conflict of Interest Statement (English) | 02/01/2024 |
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UB-105-S | Arizona Initial Claim for Unemployment Insurance (Spanish) | 02/01/2024 |
Download | Number | Name | Effective Date |
---|---|---|---|
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UIT-0603A (FY18-23) | Unemployment Insurance Tax Rates for Previous Years (English) | 12/01/2023 |
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FAA-1097B | Foster Care Age Out Tribal Referral Form (English) | 12/01/2023 |
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FAA-1530A-LP | Nutrition Assistance Able Bodied Adult Without Dependents (ABAWD) Time Limits - Large Print (English) | 11/01/2023 |
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FAA-1530A-SLP | FAA-1530A-XLP - Nutrition Assistance Able Bodied Adult Without Dependents (ABAWD) Time Limits - Large Print (Spanish) | 11/01/2023 |
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UB-106-T-I | Completion Instructions for Approved Training Continued Claim, UB-106-T (English) | 11/01/2023 |
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DDD-2076A | DDD Health Plan Care Management Referral (English) | 11/01/2023 |
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UB-106-T-I-S | Completion Instructions for Approved Training Continued Claim, UB-106-T (Spanish) | 11/01/2023 |
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RRP-1017A | Program Participants Application for Recertification (English) | 11/01/2023 |
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DDD-2238A | Home Delivered Meal Service Referral Form (English) | 11/01/2023 |
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RRP-1018A | Client Employment & Income Attestation Form (English) | 11/01/2023 |
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