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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DDD-0195B | DDD Member Rights and Responsibilities (English) | 10/01/2023 |
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AAA-1418A | Family Caregiver Support Program Reporting Matrix | 10/01/2023 |
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AG-119 | Nutritional Health Screening Tool (English) | 10/01/2023 |
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AAA-1182A | Arizona Nutrition, Food Service and Wellness Manual (English) | 10/01/2023 |
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AG-119-S | Nutritional Health Screening Tool (Spanish) | 10/01/2023 |
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DDD-1620A | Home Modification Service Property Owner Authorization for Home Modifications | 10/01/2023 |
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UB-106A | Weekly Claim for Unemployment Insurance (UI) Benefits (English) | 10/01/2023 |
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FAA-1847A | Electronic Benefit Theft Replacement Request Form (English) | 10/01/2023 |
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CSE-1290A | Caretakers Statement Regarding Physical Custody of a Child | 10/01/2023 |
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DDD-1856A | Supported Living Planning Guide (English) | 10/01/2023 |
Download | Number | Name | Effective Date |
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FAA-0412A-SLP | Change Report - Large Print (Spanish) | 05/01/2023 |
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FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
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FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
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DDD-1622A | Home Modification Requests Support Coordinator’s (SC) Checklist (English) | 05/01/2023 |
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FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
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FAA-0412A-S | Change Report (Spanish) | 05/01/2023 |
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FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
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FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
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FAA-0060A | Authority to Release Student Information | 05/01/2023 |
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FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
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DDD-1748B | Strategic Plan 2016-2020 Overview | 07/01/2016 |
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SSBG Plan 2016-2017 | Social Services Block Grant Plan 2016-2017 | 07/01/2016 |
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Statistical Bulletin May 2016 | Statistical Bulletin May 2016 | 06/10/2016 |
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30th Month Apr-2016 | 30th Month Report April Fiscal Year 2016 | 06/09/2016 |
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30th Month Mar-2016 | 30th Month Report March Fiscal Year 2016 | 06/07/2016 |
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DDD-1748A | Strategic Plan 2016 - 2020 | 06/01/2016 |
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DDD-1748B-S | Plan Estratégico 2016-2020 Resumen | 06/01/2016 |
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SNA State Plan 2016 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2016 | 06/01/2016 |
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Statistical Bulletin April 2016 | Statistical Bulletin April 2016 | 05/10/2016 |
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Arizona PY 14 WIA Title I-B Annual Report | WIA 2014 Annual Report | 05/01/2016 |
Download | Number | Name | Effective Date |
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WIO-1164A | Background Questions | 05/01/2022 |
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WIO-1173A | Thank You Response | 05/01/2022 |
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WIO-1164B | Background Questions (SCC) | 05/01/2022 |
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WIO-1173B | Thank You Response (SCC) | 05/01/2022 |
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WIO-1166A | Do's and Dont's | 05/01/2022 |
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WIO-1174A | Veterans | 05/01/2022 |
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WIO-1166B | Do's and Dont's (SCC) | 05/01/2022 |
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WIO-1174B | Veterans (SCC) | 05/01/2022 |
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WIO-1167A | Interview Questions | 05/01/2022 |
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AAA-1304A-S | Home and Community Based Services (Spanish) | 05/01/2022 |
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