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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PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
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FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
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FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
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CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care | 07/01/2023 |
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FAA-1724A-LP | Application Signature Pages (Large Print) | 07/01/2023 |
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CCA-0208A | Provider/Parent/Guardian's Agreement for Child Care Charges (English) | 07/01/2023 |
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CCA-1198A | Acknowledgement of Receipt and Understanding | 07/01/2023 |
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FAA-1513A-SLP | Consejos para Ahorrar Tiempo (Letra Grande) | 07/01/2023 |
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DDD-0308A | Individual Emergency Information - Residential | 07/01/2023 |
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CCA-1176A-S | Declaración Jurada del Padre o Tutor por Cuidado de Niños no Remunerado | 07/01/2023 |
Download | Number | Name | Effective Date |
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ETA-83 | Weekly Request for Assistance | 09/01/2022 |
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ETA-083-S | Solicitud Semanal de Asistencia | 09/01/2022 |
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CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
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GCI-1096A | Individual Family Teaming Report | 09/01/2022 |
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ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
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ETA-081-S | Solicitud Inicial de asistencia para desempleados por desastre | 09/01/2022 |
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UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
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UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
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DDD-1390A | Human Rights Committee Volunteer Application | 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 |
Download | Number | Name | Effective Date |
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UIT-1190A | UI Tax Online Reporting | 03/01/2019 |
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FAA-1700A | SAW Contact Card | 02/01/2019 |
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DDD-1945A | Support Coordination and You (English) | 01/01/2019 |
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DDD-1945A-S | Support Coordination and You (Spanish) | 01/01/2019 |
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HPY-330 | Article 52: Certification and Supervision of Family Child Care Home Providers (English/Spanish) – EFF | 12/01/2018 |
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DDD-1732A-S | Incontinence Briefs for Adults 21 Years and older (Spanish) | 11/01/2018 |
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DDD-1732A | Incontinence Briefs for Adults 21 Years and older (English) | 11/01/2018 |
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DUA-1002A | Disaster Unemployment Assistance (Bilingual) | 08/01/2018 |
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AAA-1167A-S | Asistencia Legal para los Arizonenses de la Tercera Edad | 08/01/2018 |
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AAA-1167A | Legal Assistance for Older Arizonans | 08/01/2018 |
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