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Reports, Forms, Pamphlets and Policies
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 |
|---|---|---|---|
|
FAA-0001A | Application for Benefits | 09/01/2023 |
|
DCAD-STCS | Short-Term Crisis Services (STCS) Policy | 09/01/2023 |
|
FAA-0001C-S | Programas de Asistencia, Lo Que Usted Necesita Saber | 09/01/2023 |
|
DDD-2114A | Application for Redetermination of Eligibility at Age 18 | 09/01/2023 |
|
FAA-0001A-S | Solicitud de Beneficios | 09/01/2023 |
|
WIOA-1045 | Arizona Job Connection (AJC) Service Code Dictionary | 09/01/2023 |
|
CCA-0046A | DES Child Care Services Information (English/Spanish) | 09/01/2023 |
|
DDD-2242A | Authorization for Transmission of Protected Health Information Via Unsecured Email | 09/01/2023 |
|
GCI-1143A | AzEIP Transition Timeline | 09/01/2023 |
|
FAA-1573A-LP | Your Rights and Responsibilities (Large Print) | 09/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
DDD-2238A | Home Delivered Meal Service Referral Form | 09/01/2023 |
|
FAA-1573A-XLP | Your Rights and Responsibilities (Extra Large Print) | 09/01/2023 |
|
J-119 | Data Sharing Request/Agreement (Single Division) | 08/01/2023 |
|
AAA-1240A | Disease Prevention and Health Promotion Services Quarterly Summary Report | 08/01/2023 |
|
APS-1032A-S | Autorización para Divulgar Información sin cobertura de HIPAA | 08/01/2023 |
|
DDD-1426A | Request for Incontinence Briefs for Members Ages 3 and Above | 08/01/2023 |
|
FAA-1125A | Tribal/FAA - Turn Around Document (TAD) | 08/01/2023 |
|
DDD-2218A | Debarment, Suspension, Ineligibility, And Voluntary Exclusion Lower Tier Covered Transaction | 08/01/2023 |
|
DDD-1512A | Acknowledgment of Publications/Information | 08/01/2023 |
|
DDD-2222A | Background Check Authorization for Qualified Vendor Application (RFQVA) | 08/01/2023 |
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