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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FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
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FAA-1493A | Authorized Representative Request (English) | 06/01/2023 |
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FAA-1493A-S | Authorized Representative Request (Spanish) | 06/01/2023 |
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DBS-1085B-S | AZ ABLE Card (Spanish) | 06/01/2023 |
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FAA-1493A-SXLP | Authorized Representative Request - Extra Large Print (Spanish) | 06/01/2023 |
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FAA-1523A | Cash Programs Personal Responsibility Agreement (PRA) (English) | 06/01/2023 |
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CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
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DBS-1085B | AZ ABLE Card (English) | 06/01/2023 |
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DDD-1713A | DDD Customer Service Center (English) | 06/01/2023 |
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FAA-1493A-SLP | Nutrition Assistance Authorized Representative Request - Large Print (Spanish) | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-0097A | Pre-Service Provider Orientation (English) | 11/01/2022 |
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DDD-0097A-S | Pre-Service Provider Orientation (Spanish) | 11/01/2022 |
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DDD-1972A-S | Application for Eligibility Determination Packet (Spanish) | 11/01/2022 |
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CC-214 | Child Care Provider Rate Agreement | 11/01/2022 |
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CC-214-S | Acuerdo de Tarifas del Proveedor de Cuidado de Niños | 11/01/2022 |
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CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
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LCR-1005A-S | Aviso de los Derechos Durante Inspección | 10/01/2022 |
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LCR-1054A | Initial Application Worksheet | 10/01/2022 |
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CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
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CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
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