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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UB-106-T-I-S | Completion Instructions for Approved Training Continued Claim, UB-106-T (Spanish) | 11/01/2023 |
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GCI-1186A | Autism Screenings AzEIP Programmatic Meeting - October 2023 (English) | 11/01/2023 |
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RRP-1017A | Program Participants Application for Recertification (English) | 11/01/2023 |
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EEA-1005A-S | 2023 Pinal County Roundtable for Agricultural Employers (Spanish) | 10/31/2023 |
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Statistical Bulletin September 2023 | Statistical Bulletin September 2023 | 10/19/2023 |
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30th Month June 2023 | 30th Month Financial Report FY 2023 through June 2023 | 10/05/2023 |
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Tribal Consultation Report 2023 | Tribal Consultation Report 2023 | 10/05/2023 |
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30th Month August 2023 | 30th Month Financial Report FY 2024 through August 2023 | 10/03/2023 |
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FAA-1847A-XLP | Electronic Benefit Theft Replacement Request Form - Extra Large Print (English) | 10/01/2023 |
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AAA-1351A | Non-Registered Quarterly Report | 10/01/2023 |
Download | Number | Name | Effective Date |
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FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
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DDD-2203A | Daily Shift Log (English) | 05/01/2023 |
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FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
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CCA-0221A | Family Child Care Provider Statement of Services | 05/01/2023 |
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FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
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FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
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FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
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FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
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CCA-0221A-S | Declaración de Servicios del Proveedor de Cuidado en Casa de Familia | 05/01/2023 |
Download | Number | Name | Effective Date |
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Tribal Consultation Report 2015 | Tribal Consultation Report 2015 | 08/17/2015 |
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Statistical Bulletin July 2015 | Statistical Bulletin July 2015 | 08/14/2015 |
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30th Month Apr-2015 | 30th Month Report April Fiscal Year 2015 | 07/30/2015 |
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30th Month Mar-2015 | 30th Month Report March Fiscal Year 2015 | 07/30/2015 |
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Statistical Bulletin June 2015 | Statistical Bulletin June 2015 | 07/16/2015 |
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Statistical Bulletin May 2015 | Statistical Bulletin May 2015 | 07/08/2015 |
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SSBG Plan 2015-2016 | Social Services Block Grant Plan 2015-2016 | 07/01/2015 |
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Statistical Bulletin April 2015 | Statistical Bulletin April 2015 | 06/10/2015 |
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Statistical Bulletin March 2015 | Statistical Bulletin March 2015 | 05/19/2015 |
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30th Month Feb-2015 | 30th Month Report February Fiscal Year 2015 | 04/29/2015 |
Download | Number | Name | Effective Date |
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RSA-1213A | Disability Benefits 101 | 04/01/2022 |
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RSA-1213A-LP | Disability Benefits 101 (Large Print) | 04/01/2022 |
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RSA-1213A-SLP | Beneficios por discapacidad en Arizona 101 (Letra Grande) | 04/01/2022 |
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RSA-1213A-S | Beneficios por discapacidad en Arizona 101 | 04/01/2022 |
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GCI-1120A-S | Guía de Transición para Familias: Lo que necesita saber antes del tercer cumpleaños de su hijo(a) | 02/01/2022 |
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UIT-1209A-S | Módulo de Respuesta por Internet para Empleadores (IRME) | 02/01/2022 |
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UIT-1209A | Internet Response Module for Employers (IRME) | 02/01/2022 |
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ESA-1370A | One Stop Program SCSEP | 02/01/2022 |
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RRP-1012A | Refugee Medical Assistance Program (RMA) Provider Manual (English) | 02/01/2022 |
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GCI-1120A | Transition Guide for Families: What You Need to Know Before Your Child's Third Birthday | 02/01/2022 |
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