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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GCI-1161A-3 | Service Coordination Services Programmatic Meeting June 2023 | 06/01/2023 |
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DDD-2207A | Quick Reference Guide - AHCCCS Eligibility Redeterminations (English/Spanish) | 06/01/2023 |
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DDD-1479A-S | Notice of Extension (Spanish) | 06/01/2023 |
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FAA-1523A | Cash Programs Personal Responsibility Agreement (PRA) (English) | 06/01/2023 |
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FAA-1440A-S | Cash Assistance Benefit Limit Extension Request (Spanish) | 06/01/2023 |
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FAA-1821A-LP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Large Print (English) | 06/01/2023 |
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FAA-0155A | Recent Employment/Training Background | 06/01/2023 |
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FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
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DDD-1713A | DDD Customer Service Center (English) | 06/01/2023 |
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FAA-1523A-S | Cash Programs Personal Responsibility Agreement (PRA) (Spanish) | 06/01/2023 |
Download | Number | Name | Effective Date |
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HRP-1052A-S | Aviso de Acción del Programa Suplementario de Comestibles Básicos (CSFP) | 08/01/2022 |
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FAA-1570A-S | Acuerdo de Sanción de Asistencia en efectivo (CA) por condena de drogas | 08/01/2022 |
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HRP-1032A-S | Programa Suplementario de Comestibles Básicos (CSFP) Solicitud para Reunión Informal de Resolución de Disputas / Audiencia Imparcial | 08/01/2022 |
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HRP-1033A | Commodity Senior Food Program (CSFP) ID/Transfer Card (English/Spanish) | 07/01/2022 |
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HRP-1001A | USDA Commodity Loss Report (CLR) | 07/01/2022 |
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UIB-0101C-S | Declaración Jurada del Plan de Búsqueda de Trabajo | 07/01/2022 |
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HRP-1005A | TEFAP Monthly Inventory and Participation Report (MIPR) | 07/01/2022 |
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CCA-0231A-2022 | Child Care Assistance Unwed Minor Parent Deeming Worksheet | 07/01/2022 |
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HRP-1039A-S | Programa Suplementario de Comestibles Básicos (CSFP) Derechos y obligaciones del participante | 07/01/2022 |
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UIB-0101C | Work Search Plan of Action Affidavit (English) | 07/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
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GCI-1007A | Arizona Early Intervention Program (AzEIP) (English) | 07/01/2018 |
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GCI-1007A-S | Arizona Early Intervention Program (AzEIP) (Spanish) | 07/01/2018 |
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PAU-592 | Data Disclosure Information and Fee Schedule | 04/01/2018 |
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VOS-1012A | Where Volunteers are Valued | 04/01/2018 |
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DDD-1896A | Employment Services: Do You Want To Work? | 03/01/2018 |
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DDD-1896A-S | Servicios de Empleo de la DDD: ¿Desea Trabajar? | 03/01/2018 |
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PAD-465-C | Definitions for AHCCCS Members | 01/01/2018 |
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HRP-1024A | SNAP Information Brochure | 11/01/2017 |
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HRP-1044A | CSFP Information Brochure | 11/01/2017 |
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DDD-1700A-S | Keep Your Baby Healthy (Spanish) | 08/14/2017 |
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