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Download Number Form Name Effective Date
GCI-1021A-S Plan Individualizado de Servicio Familiar - Paquete 03/01/2019
DDD-1985A-S Información de Identificación Personal (PIF) 03/01/2019
RSA-1365A Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA 03/01/2019
DDD-1986A PRC Contact Information 03/01/2019
DDD-1986A-S Información de Contacto del Comité de Revisión del Programa (PRC) 03/01/2019
DDD-1987A Team Agreement of Behavior Treatment Plan 03/01/2019
DDD-1987A-S Acuerdo de Equipo del Plan de Tratamiento de la Conducta 03/01/2019
DDD-1988A PRC Disposition 03/01/2019
DDD-1988A-S Disposición del Comité de Revisión del Programa (PRC) 03/01/2019
GCI-1021A Individualized Family Service Plan - Packet 03/01/2019

Download Number Form Name Effective Date
Statistical Bulletin September 2014 Statistical Bulletin September 2014 10/16/2014
Neighbors Helping Neighbors Fund 2014 Neighbors Helping Neighbors Fund Annual Report 2014 10/01/2014
Title XIX Reimbursement Rates Study Report 2014 Annual Title XIX Reimbursement Rates Study Report 2014 10/01/2014
Family Support Program 2014 DDD Family Support Program Annual Report 2014 09/25/2014
Aging Plan 2015-2018 Arizona State Plan on Aging 2015-2018 09/23/2014
2014 Child Care Report to JLBC 2014 Child Care Report to JLBC 09/18/2014
Statistical Bulletin August 2014 Statistical Bulletin August 2014 09/15/2014
DVSF2014 Domestic Violence Shelter Fund Report for SFY 2014 09/15/2014
30th Month 13th 2014 30th Month Report 13th Fiscal Year 2014 09/15/2014
Tribal Consultation Report 2014 Tribal Consultation Report 2014 09/05/2014

No results available.

Download Number Form Name Effective Date
GCI-1070A Child and Family Rights in the Arizona Early Intervention Program (AzEIP) Accessible 05/01/2016
DDD-1745A Vehicle Safety Buckle Up - Q & As 05/01/2016
UIB-1219B How to File Your Weekly Claim (Bilingual) 04/01/2016
UIB-1221B How To Apply for UI Benefits (Bilingual) 04/01/2016
CCA-1199A Emergency Preparedness & Response Planning 03/01/2016
DDD-1720A Responsible Driving - Heat Related Facts 09/01/2015
DDD-1720A-S Manejar de manera responsable......Es más que lo que está furea del vechículo 09/01/2015
RSA-PL9903 AZRSA Strategic Plan 2015 - 2017 06/09/2015
RSA-LP10131 Understanding Order of Selection (Large Print) 06/07/2015
RSA-PL10130 Understanding Order of Selection 06/07/2015


Download Number Form Name Effective Date
FAA-1249A-LP Verification of Disability (Large Print) 07/01/2019
FAA-0001A Application for Benefits 07/01/2019
DDD-1954-S Participación en DDD 07/01/2019
FAA-0574A Withdrawal or Stop Benefits/Appeal Request 07/01/2019
DDD-1622A Home Modification Requests Support Coordinator’s (SC) Checklist 07/01/2019
CSE-1246A-S Visión General del Programa de Servicios de Sustento para Menores 07/01/2019
DDD-1713A-S Centro de Servicio al cliente de la DDD 07/01/2019
FAA-0001A-S Solicitud de Beneficios 07/01/2019
CCA-1230A-S Evitar la lista de espera para el cuidado de niños 07/01/2019
DDD-1972A Application for Eligibility Determination Packet 07/01/2019

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