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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EAP-1000A-S | Necesita ayuda para pagar su factura de energia | 10/01/2022 |
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EAP-1000A | Need Help Paying Your Energy Bill | 10/01/2022 |
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DDD-1747A-S | Contrato De Residencia Para Las Residencias De Vivienda Asistida (ALF) | 10/01/2022 |
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GCI-1070A | Child and Family Rights in the Arizona Early Intervention Program (English) | 10/01/2022 |
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GCI-1070A-S | Child and Family Rights in the Arizona Early Intervention Program (Spanish) | 10/01/2022 |
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CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
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DDD-2139A | Exhibitor DDD Volunteerism Community Fair | 10/01/2022 |
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AAA-1035A-NAVAJO | Arizona Long-Term Care Ombudsman Program (Navajo) | 10/01/2022 |
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CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
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CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1405C | Transition To Employment - 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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RSA-1313A | Authorization for Release of RSA Records | 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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ETA-081A | Supplement to Application for DUA Self-Employed Individuals | 04/01/2018 |
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LCR-1078A | OLCR Developmental Home Application Cover Page | 04/01/2018 |
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UIT-1146A | Limited Power of Attorney (English) | 04/01/2018 |
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LCR-1080A | Licensing Investigation Template | 04/01/2018 |
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CSE-1171A | Affidavit of Financial Information (English/Spanish) | 04/01/2018 |
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LCR-1080B | Licensing Investigation Procedural Tool | 04/01/2018 |
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