You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
CC-214-A-S | Acuerdo de Tarifa para Parientes Proveedores de Cuidado de Niños | 11/01/2022 |
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DDD-1972A-S | Application for Eligibility Determination Packet (Spanish) | 11/01/2022 |
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DDD-0525A-S | Application for Initial Eligibility Determination (Spanish) | 11/01/2022 |
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DDD-0525A | Application for Initial Eligibility Determination (English) | 11/01/2022 |
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DDD-0640A | How DDD Eligibility is Determined (English) | 11/01/2022 |
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DDD-0640A-S | How DDD Eligibility is Determined (Spanish) | 11/01/2022 |
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Draft Aging Plan 2023-2026 | Arizona State Plan on Aging 2023-2026 (English) | 10/03/2022 |
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CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
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CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
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LCR-1005A-S | Aviso de los Derechos Durante Inspección | 10/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UB-296-S | Report of Illness or Physical Disability (Spanish) | 05/01/2018 |
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DDD-1404C | Employment Support Aide - Quality Assurance Review | 05/01/2018 |
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CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers | 05/01/2018 |
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CCA-1141A-S | Inscripción con Depósito Directo para Proveedores o Parientes Autorizados Por el DES | 05/01/2018 |
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DDD-1405A | Transition to Employment - Quarterly Report | 05/01/2018 |
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PPP-1063A | HIPAA Privacy Complaints (English) | 05/01/2018 |
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WIO-1079A | WIOA Pre-Approval Questionnaire for Equipment and Vehicles Over $5,000 | 04/01/2018 |
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CSE-1171A | Affidavit of Financial Information (English/Spanish) | 04/01/2018 |
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PAU-592 | Data Disclosure Information and Fee Schedule | 04/01/2018 |
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LCR-1078A | OLCR Developmental Home Application Cover Page | 04/01/2018 |
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