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-1318A | Arizona Child Care Assistance Provider Decision Tool | 08/01/2023 |
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DDD-2051A_2023 | Policy Development Tool 2023 | 08/01/2023 |
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DDD-2223A | RFQVA DDD-2024 Attestation of Policy Development Tool (English) | 08/01/2023 |
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DDD-1426A | Request for Incontinence Briefs for Members Ages 3 and Above (English) | 08/01/2023 |
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APS-1032A | Authorization to Release Non-HIPAA Information Form | 08/01/2023 |
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J-119 | Data Sharing Request/Agreement (Single Division) (English) | 08/01/2023 |
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DDD-1164A | Attendant Care Progress Notes (English) | 08/01/2023 |
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AAA-1301A-S | Adult Protective Services (APS) Records Request Form (Spanish) | 08/01/2023 |
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DDD-1512A | Acknowledgment of Publications/Information | 08/01/2023 |
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CCA-1301A | Background Check Requirements for Child Care Staff (Eng/Spa) | 08/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2206A | Enhanced Behavioral Group Home Oversight Meeting Agenda (English) | 06/01/2023 |
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FAA-0155A | Recent Employment/Training Background | 06/01/2023 |
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FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
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FAA-0155B | Determination of Primary Wage Earner (PWE) | 06/01/2023 |
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FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
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FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
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FAA-0155A-S | Antecedentes de Empleo o Capacitación Reciente | 06/01/2023 |
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FAA-1493A | Authorized Representative Request (English) | 06/01/2023 |
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FAA-0412A-XLP | Change Report - Extra Large Print (English) | 05/01/2023 |
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
30th Month Jan-2018 | 30th Month Financial Report FY-2018 through Jan-2018 | 03/16/2018 |
|
Statistical Bulletin January 2018 | Statistical Bulletin January 2018 | 02/28/2018 |
|
30th Month Dec 2017 | 30th Month Financial Report FY-2018 through Dec-2017 | 02/28/2018 |
|
2017 Homeless Lottery Funds Report | 2017 Homeless Lottery Funds Report | 02/01/2018 |
|
Statistical Bulletin December 2017 | Statistical Bulletin December 2017 | 01/31/2018 |
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30th Month Nov 2017 | 30th Month Financial Report FY-2018 through Nov-2017 | 01/30/2018 |
|
Tribal Consultation Report 2017 | Tribal Consultation Report 2017 | 01/18/2018 |
|
30th Month Oct 2017 | 30th Month Financial Report FY-2018 through Oct-2017 | 01/03/2018 |
|
TANF-WVP 2018 | Temporary Assistance for Needy Families (TANF) Work Verification Plan 2018 | 01/01/2018 |
|
Annual Report on Homelessness 2017 | Annual Report on Homelessness 2017 | 12/31/2017 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
EAP-1001A | AZDES LIHEAP Energy Conservation Kit Guide | 05/20/2022 |
|
WIO-1162A | Arizona Job Connection | 05/01/2022 |
|
WIO-1171A | Strengths | 05/01/2022 |
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WIO-1162B | Arizona Job Connection (SCC) | 05/01/2022 |
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WIO-1171B | Strengths (SCC) | 05/01/2022 |
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CCA-1275A | Preschool Suspension and Expulsion Support for Families (English) | 05/01/2022 |
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WIO-1163A | Attitude | 05/01/2022 |
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WIO-1172A | Telephone Etiquette | 05/01/2022 |
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CCA-1275A-S | Preschool Suspension and Expulsion Support for Families (Spanish) | 05/01/2022 |
|
WIO-1163B | Attitude (SCC) | 05/01/2022 |
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