You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1045A-XLP | How to Use Your Arizona EBT Card - Extra Large Print (English) | 05/01/2024 |
EAP-1002A-S | LIHEAP Application (Spanish) | 05/01/2024 |
FAA-1045A-SLP | How to Use Your Arizona EBT Card - Large Print (Spanish) | 05/01/2024 |
FAA-1045A-SXLP | How to Use Your Arizona EBT Card - Extra Large Print (Spanish) | 05/01/2024 |
FAA-1814A-S | Customer Informational Packet (Spanish) | 05/01/2024 |
GCI-1050A-S | AzEIP Prior Written Notice (Spanish) | 05/01/2024 |
CSE-1319A-S | AZCARES Employer Portal FAQs (Spanish) | 05/01/2024 |
J-930-A-S | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) (Spanish) | 05/01/2024 |
EAP-1002A | LIHEAP Application (English) | 05/01/2024 |
GCI-1131A | Indicator 1: Timely Provision of Services Child File Review Form and Guidance (English) | 05/01/2024 |
Number | Document Name | Effective Date |
---|---|---|
FAA-0059A | Authority to Release Records | 06/01/2023 |
FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
FAA-1439A-LP | Self-Employment Income Statement - Large Print (English) | 06/01/2023 |
FAA-1459A | Hopi Tribal TANF Referral Notice | 06/01/2023 |
FAA-1529A | Verification of Volunteers Hours | 06/01/2023 |
FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
DDD-2207A | Quick Reference Guide - AHCCCS Eligibility Redeterminations (English/Spanish) | 06/01/2023 |
FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
FAA-0155A | Recent Employment/Training Background | 06/01/2023 |
FAA-1523A-S | Cash Programs Personal Responsibility Agreement (PRA) (Spanish) | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
30th Month Mar-2017 | 30th Month Report March Fiscal Year 2017 | 05/16/2017 |
Statistical Bulletin April 2017 | Statistical Bulletin April 2017 | 05/11/2017 |
Statistical Bulletin March 2017 | Statistical Bulletin March 2017 | 05/01/2017 |
6AAC5-Article-49 | Five-Year Review Report – Child Care Assistance | 04/28/2017 |
30th Month Feb-2017 | 30th Month Report February Fiscal Year 2017 | 04/18/2017 |
Statistical Bulletin February 2017 | Statistical Bulletin February 2017 | 03/30/2017 |
30th Month Jan-2017 | 30th Month Report January Fiscal Year 2017 | 03/14/2017 |
30th Month Nov-2016 | 30th Month Report November Fiscal Year 2017 | 02/27/2017 |
30th Month Dec-2016 | 30th Month Report December Fiscal Year 2017 | 02/27/2017 |
Statistical Bulletin January 2017 | Statistical Bulletin January 2017 | 02/01/2017 |
Number | Document Name | Effective Date |
---|---|---|
DDD-0640A-S | How DDD Eligibility is Determined (Spanish) | 11/01/2022 |
GCI-1125A | Arizona Early Intervention Program Billing Manual - October 2022 (English) | 10/01/2022 |
EAP-1000A-S | Necesita ayuda para pagar su factura de energia | 10/01/2022 |
ESA-1060A | Need Help Finding a Job? | 10/01/2022 |
EAP-1000A | Need Help Paying Your Energy Bill | 10/01/2022 |
GCI-1070A | Child and Family Rights in the Arizona Early Intervention Program (English) | 10/01/2022 |
AAA-1034A | Contact Your Local Ombudsman Program | 10/01/2022 |
GCI-1070A-S | Child and Family Rights in the Arizona Early Intervention Program (Spanish) | 10/01/2022 |
AAA-1034A-S | Comuníquese con el Programa de ombudsman local | 10/01/2022 |
ESA-1184A-S | Servicios de Empleo para Veteranos | 10/01/2022 |
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