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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CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
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EAP-1000A-S | Necesita ayuda para pagar su factura de energia | 10/01/2022 |
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LCR-1005A-S | Aviso de los Derechos Durante Inspección | 10/01/2022 |
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CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
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EAP-1000A | Need Help Paying Your Energy Bill | 10/01/2022 |
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LCR-1005A | Notice of Inspection Rights | 10/01/2022 |
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DDD-1991A-S | DDD Eligibility Checklist (Spanish) | 10/01/2022 |
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DDD-2139A | Exhibitor DDD Volunteerism Community Fair | 10/01/2022 |
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AAA-1035A-NAVAJO | Arizona Long-Term Care Ombudsman Program (Navajo) | 10/01/2022 |
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CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
PPP-1063A | HIPAA Privacy Complaints (English) | 05/01/2018 |
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CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers | 05/01/2018 |
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DDD-1405A | Transition to Employment - Quarterly Report | 05/01/2018 |
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CCA-1141A-S | Inscripción con Depósito Directo para Proveedores o Parientes Autorizados Por el DES | 05/01/2018 |
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DDD-1405B | Transition To Employment - Six Month Report (English) | 05/01/2018 |
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DDD-1405C | Transition To Employment - Quality Assurance Review | 05/01/2018 |
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RSA-1313A | Authorization for Release of RSA Records | 05/01/2018 |
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UB-296 | Report of Illness or Physical Disability (English) | 05/01/2018 |
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RSA-1313A-S | Autorización de Divulgación de Registros de RSA | 05/01/2018 |
|
DDD-1403B | Individual Supported Employment - Six Month Report | 05/01/2018 |
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