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Download Number Form Name Effective Date
CSE-1178A Child Support Modification Packet 05/01/2018
CSE-1178A-S Paquete de Modificación de Sustento para Menores 05/01/2018
HRP-1015A Annual Civil Rights Training 05/01/2018
DDD-1405B Transition To Employment - Six Month Report 05/01/2018
DDD-1405C Transition To Employment - Quality Assurance Review 05/01/2018
DD-097 Pre-Service Provider Orientation 05/01/2018
DDD-1530A Managed Risk Assessment Service and/or Placement 05/01/2018
DD-097-1-FFS Orientación del Proveedor Previa al Servicio 05/01/2018
DDD-1401A Center Based Employment - Quarterly Report 05/01/2018
CCA-1141A Direct Deposit Enrollment - DES Certified Homes/Relative Providers 05/01/2018

Download Number Form Name Effective Date
IDEA Part C Child Count FFY 2012 Child Count and Setting 2012 02/01/2013
Statistical Bulletin December 2012 Statistical Bulletin December 2012 01/30/2013
30th Month November 2013 30th Month Report November Fiscal Year 2013 01/15/2013
Annual Report 2011-2012 2011-2012 DES Annual Report 01/04/2013
Annual Report on Homelessness 2012 21st Annual Report on Homelessness December 2012 01/03/2013
Statistical Bulletin November 2012 Statistical Bulletin November 2012 12/28/2012
2012 Homeless Lottery Funds Report 2012 Homeless Lottery Funds Report 12/21/2012
APS SFY 2012 Adult Protective Services Annual Activity 2012 Report 12/12/2012
30th Month October 2013 30th Month Report October Fiscal Year 2013 12/10/2012
Statistical Bulletin October 2012 Statistical Bulletin October 2012 12/03/2012

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Download Number Form Name Effective Date
CC-024A-S Declaración de Verificación de Sueldo y Empleo 10/01/2018
CC-228 Self-Employment Budget Record 10/01/2018
PAD-465-S Sistema de Cuidado a Largo Plazo de Arizona (ALTCS) 10/01/2018
CC-228-S Registro Presupuestario de empleo propio 10/01/2018
DDD-1703A Provider Request for Central Registry Background Check 10/01/2018
AAA-1034A Arizona Long-Term Care Ombudsman Program 10/01/2018
GCI-1000A Watch How I Grow (English/Spanish) 10/01/2018
FA-100-S Solicitud de Apelación 10/01/2018
AAA-1035A Arizona Long-Term Care Ombudsman Program 10/01/2018
FAA-1045A-S Cómo utilizar su targeta de EBT de Arizona 10/01/2018

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