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Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
FAA-1701A-XLP | Verification of Terminated Employment (Extra Large Print) | 01/01/2020 |
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HRP-1028A-S | Solicitud para Beneficios (TEFAP, CSFP) | 01/01/2020 |
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FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 01/01/2020 |
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HRP-1039A | Commodity Senior Food Program (CSFP) Participant Rights and Obligations | 01/01/2020 |
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FAA-1145A | Authorization to Share Information (English/Spanish) | 01/01/2020 |
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LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 01/01/2020 |
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HRP-1039A-S | Programa Suplementario de Comestibles Básicos (CSFP) Derechos y obligaciones del participante | 01/01/2020 |
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FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 01/01/2020 |
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LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 01/01/2020 |
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FAA-1701A-LP | Verification of Terminated Employment (Large Print) | 01/01/2020 |
| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
Statistical Bulletin December 2019 | Statistical Bulletin December 2019 | 01/16/2020 |
|
AZ-CSFP | Arizona Commodity Senior Food Program (CSFP) State Plan | 01/14/2020 |
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30th Month November 2019 | 30th Month Financial Report FY 2019 through November 2019 | 01/07/2020 |
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Annual Report on Homelessness 2019 | Annual Report on Homelessness 2019 | 01/06/2020 |
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2019 Homeless Lottery Funds Report | 2019 Homeless Lottery Funds Report | 01/06/2020 |
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Annual Report 2018-2019 | 2018-2019 DES Annual Report | 12/31/2019 |
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Five Year Strategic Plan SFY 2020 - 2024 | Five Year Strategic Plan SFY 2020 - 2024 | 12/31/2019 |
|
30th Month October 2019 | 30th Month Financial Report FY 2019 through October 2019 | 12/24/2019 |
|
Statistical Bulletin November 2019 | Statistical Bulletin November 2019 | 12/16/2019 |
|
AZ State Plan - TEFAP 2019-2020 | Arizona State Plan- The Emergency Food Assistance Program (TEFAP) 2019-2020 | 12/06/2019 |
| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
CCA Emergency & Disaster Preparedness Plan | Child Care Administration Emergency and Disaster Preparedness Plan | 09/30/2019 |
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WIO-1064A | Joint Guidance for Limitations on Use of Subminimum Wage | 07/26/2017 |
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TEFAP Policy and Procedure Manual | The Emergency Food Assistance Program Policy and Procedure Manual | 05/24/2017 |
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DES 1-01-14-01 | Director's Office of Equal Opportunity Procedures: Client Complaint Process | 02/24/2017 |
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DES 1-01-14 | Office of Equal Opportunity: Client Complaints | 08/29/2016 |
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DES_1-92-03 | Tribal Government Consultation | 10/06/2014 |
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DES 1-01-34 | Limited English Proficiency | 08/08/2014 |
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DES 1-01-12 | Americans with Disabilities Act (ADA) Title II | 03/15/2013 |
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DES 1-01-12-01S | Procedimientos del Título II de la Ley de Estadounidenses con Discapacidades | 03/15/2013 |
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DES 1-01-12S | Ley de Estadounidenses con Discapacidades - Título II | 03/15/2013 |
| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
DDD-0465A | Arizona Long Term Care System (ALTCS) Handbook | 10/01/2020 |
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FAA-0032A-LP | Information Needed to Complete Your Case (English/Spanish - Large Print) | 07/01/2020 |
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FAA-0177A | Claim of Good Cause (Eng/Span) | 01/01/2020 |
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FAA-0032A-XLP | Information Needed to Complete Your Case (English/Spanish - Extra Large Print) | 01/01/2020 |
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FAA-1513A-LP | Time Savings Tips (Large Print) | 01/01/2020 |
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FAA-1758A | FNS Certification Flyer (English/Spanish) | 01/01/2020 |
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FAA-1759A | Don't Take a Chance...Report a Change! | 01/01/2020 |
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AAA-1341A | Local Medicare Help | 01/01/2020 |
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FAA-0032A | Information Needed to Complete Your Case (English/Spanish) | 01/01/2020 |
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FAA-1760A | Don't Take a Chance...Report a Change! (Poster) | 01/01/2020 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
DDD-0465A | Arizona Long Term Care System (ALTCS) Handbook | 10/01/2020 |
|
FAA-0032A-LP | Information Needed to Complete Your Case (English/Spanish - Large Print) | 07/01/2020 |
|
Statistical Bulletin December 2019 | Statistical Bulletin December 2019 | 01/16/2020 |
|
AZ-CSFP | Arizona Commodity Senior Food Program (CSFP) State Plan | 01/14/2020 |
|
30th Month November 2019 | 30th Month Financial Report FY 2019 through November 2019 | 01/07/2020 |
|
Annual Report on Homelessness 2019 | Annual Report on Homelessness 2019 | 01/06/2020 |
|
2019 Homeless Lottery Funds Report | 2019 Homeless Lottery Funds Report | 01/06/2020 |
|
FAA-1513A-LP | Time Savings Tips (Large Print) | 01/01/2020 |
|
FAA-1701A-LP | Verification of Terminated Employment (Large Print) | 01/01/2020 |
|
FAA-1759A | Don't Take a Chance...Report a Change! | 01/01/2020 |
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