You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1303A | Instructions for Central Registry Submission (Eng/Spa) | 08/01/2023 |
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UC-010-FF | Installment Payment Agreement | 08/01/2017 |
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ESA-1306A-S | Inscripción con el Servicio de Empleo | 07/01/2023 |
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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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LCR-1054A | Initial Application Worksheet | 10/01/2022 |
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ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
|
AzEIP-TAB-12012023 | Informed Written Consent on the Individualized Family Service Plan (IFSP) Technical Assistance Bulletin - 12/01/2023 | 12/01/2023 |
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SNA-1046A-S | Informe Mensual de Actividades Laborales (Monthly Work Activity Report) | 05/01/2019 |
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LCR-1007A-S | Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso | 07/01/2019 |
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CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-0001A | Application for Child Care Assistance (English) | 09/01/2023 |
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FAA-0001B-S | Application for Benefits Addendum (Spanish) | 01/01/2024 |
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FAA-0001B | Application for Benefits Addendum (English) | 01/01/2024 |
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HRP-1028A | Application for Benefits (TEFAP, CSFP) | 08/01/2022 |
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FAA-0001A-S | Application for Benefits (Spanish) | 02/01/2024 |
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FAA-0001A | Application for Benefits (English) | 02/01/2024 |
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CCA-1264A | Application Completeness Review Checklist | 05/01/2019 |
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LCR-1056A | Applicant Statement of Understanding for Child or Adult Developmental Home | 04/01/2023 |
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EAP-1004A-S | Applicant Statement of Tribal LIHEAP Denial (Spanish) | 12/01/2022 |
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EAP-1004A | Applicant Statement of Tribal LIHEAP Denial (English) | 12/01/2022 |
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