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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CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
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DES-1232A | Arizona Voter Registration Form (Bilingual) | 09/01/2022 |
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RSA-1313A-SLP | Autorización de Divulgación de Registros de RSA (Letra Grande) | 09/01/2022 |
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ETA-83 | Weekly Request for Assistance | 09/01/2022 |
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HRP-1040A | Annual USDA Commodity Food Service Application and Agreement Between Regional Food Bank and Distribution Site | 09/01/2022 |
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RSA-1313A-LP | Authorization for Release of RSA Records (Large Print) | 09/01/2022 |
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ETA-083-S | Solicitud Semanal de Asistencia | 09/01/2022 |
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GCI-1096A | Individual Family Teaming Report | 09/01/2022 |
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RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DES-1077A-LP | Notice of Privacy Practices - Large Print (English) | 09/01/2018 |
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DES-1077A-S-LP | Notice of Privacy Practices - Large Print (Spanish) | 09/01/2018 |
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UIB-0098D | Eligibility Investigation Record - Administrative Penalty | 09/01/2018 |
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CC-001A-S | Derechos y Responsabilidades de la Asistencia para Cuidado de Niños | 08/01/2018 |
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CC-001A | Child Care Assistance Rights and Responsibilities | 08/01/2018 |
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CCA-1015A | Withdrawal or Termination Request (English) | 07/01/2018 |
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CCA-1015A-S | Withdrawal or Termination Request (Spanish) | 07/01/2018 |
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DDD-1370A | Child Information Guide | 07/01/2018 |
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DDD-1727A | Direct Service Position (English) | 07/01/2018 |
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DDD-1370A-S | Información Sobre el Menor | 07/01/2018 |
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