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Download Number Form Name Effective Date
HRP-1012A Food Distribution Monthly Statistical Report 02/01/2019
CSE-1129A Electronic Payment Authorization 02/01/2019
CSE-1129A-S Autorización para pagos electrónicos 02/01/2019
HRP-1027A USDA Compliance Review 01/01/2019
GCI-1077A Complaint Request 01/01/2019
FAA-1475A Verification of Out-Of-State Benefits 01/01/2019
GCI-1077A-S Solicitud de Reclamo 01/01/2019
LCR-1079C Completion Guide for Forms LCR-1079A & LCR-1079B Developmental Home Compliance Review Instructions 01/01/2019
HRP-1017A Request to Terminate USDA Distribution Site 01/01/2019
HRP-1026A USDA Beneficiary Referral Request 01/01/2019

Download Number Form Name Effective Date
IDEA Part C Exiting FFY 2013 Exiting 2012-13 11/06/2013
30th Month Aug-2014 30th Month Report August Fiscal Year 2014 10/30/2013
30th Month 13th 2013 30th Month Report 13th Fiscal Year 2013 10/28/2013
Statistical Bulletin September 2013 Statistical Bulletin September 2013 10/15/2013
2013 Child Care Report to JLBC 2013 Child Care Report to JLBC 10/03/2013
Family Support Program 2013 DDD Family Support Program Annual Report 2013 10/02/2013
WIA 2012 Annual Report Arizona PY12 WIA Title IB Annual Report 10/01/2013
State Performance Plan FFY 2012 FFY 2012 AzEIP Annual Performance Report 09/30/2013
State Performance Plan, FFY 2005-2013 AzEIP State Performance Plan, 2005-2013 09/30/2013
Child Care and Development Fund Plan FFY2014-2015 Child Care and Development Fund Plan FFY2014-2015 09/20/2013

No results available.

Download Number Form Name Effective Date
EN-025 Food Assistance Programs in Arizona 09/01/2013
EN-025-S Programas de Asistencia Alimenticia en Arizona 09/01/2013
PAD-195 Statement of Rights 08/01/2013
PAD-195-S Declaración de Derechos 08/01/2013
GCI-1070A Child and Family Rights in the Arizona Early Intervention Program 07/01/2013
GCI-1070A-S Derechos del Menor y la Familia bajo en Programa de Intervención Temprana de Arizona (AzEIP) 07/01/2013
RSA-PL8243 Client Assistance Program 06/20/2013
PAY-626 Non-Certified Relative Child Care Provider Program 04/01/2013
PAY-626-S Programa de Parientes como Proveedores No Certificados de Cuidado de Niños 04/01/2013
GCI-1081A-S La Importancia de la Historia Familiar 01/01/2013


Download Number Form Name Effective Date
CCA-1261A Certified Family Child Care Provider Application 07/01/2019
FAA-0001A Application for Benefits 07/01/2019
FAA-0574A-LP Withdrawal or Stop Benefits/Appeal Request (Large Print) 07/01/2019
CCA-1261A-S Solicitud de Proveedor Certificado de Cuidado de Niños Familiar 07/01/2019
UIB-1240A-S Una Guía a los Beneficios en Arizona - Beneficios de Seguro de Desempleo 07/01/2019
DDD-1954A DDD Engagement 07/01/2019
FAA-0001A-S Solicitud de Beneficios 07/01/2019
WIO-1086A Connecting People and Jobs 07/01/2019
SSBG Plan 2019-2020 Social Services Block Grant Plan 2019-2020 07/01/2019
FAA-0574A-LPS Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) 07/01/2019

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