You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
|
FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
|
FAA-0412A | Change Report (English) | 05/01/2023 |
|
FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
|
FAA-1506A | Statement of No Income (English) | 05/01/2023 |
|
GCI-1037A | Public Education Agency (PEA) Notification/Referral | 05/01/2023 |
|
CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
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FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
|
GCI-1037A-S | Aviso o Recomendación de la Agencia de Educación Pública (PEA) | 05/01/2023 |
|
FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
|
UIA-1057A-S | Información básica del Seguro por Desempleo de Arizona | 05/01/2022 |
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CCA-1211A | Request for Search of Background Checks (English) | 05/01/2022 |
|
UB-195-FF | Affidavit as to Forged Endorsement | 05/01/2022 |
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FAA-1701A-XLP | Verification of Terminated Employment - Extra Large Print (English) | 05/01/2022 |
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UB-195-SFF | Affidavit as to Forged Endorsement (Spanish) | 05/01/2022 |
|
CCA-1199A | Emergency Preparedness & Response Planning | 04/01/2022 |
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GCI-1131A | Child File Review Form: Indicator 1: Timely Provision of Services | 04/01/2022 |
|
GCI-1135A | Child File Review Form: Indicator 8A Transition Planning Meeting (TPM) | 04/01/2022 |
|
GCI-1137A | Child File Review Form: Indicator 8b PEA Notification | 04/01/2022 |
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