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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CCA-0229A-FY24 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2024 (English/Spanish) | 10/01/2023 |
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AAA-1418A | Family Caregiver Support Program Reporting Matrix | 10/01/2023 |
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FAA-1549A | Merchant Restaurant Meals Program (English) | 10/01/2023 |
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CSE-1160A | Request to Close Child Support Case (English/Spanish) | 10/01/2023 |
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AAA-1351A | Non-Registered Quarterly Report | 10/01/2023 |
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AAA-1350A | Caregiver Registration Form | 10/01/2023 |
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CSE-1158A | Request for Review of Arrears (English) | 10/01/2023 |
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GCI-1184A-RA-PD | AzEIP TBEIS Billing Manual October 1, 2023 (English) | 10/01/2023 |
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ESA-1314B | Notification of Complaint to Employer | 10/01/2023 |
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FAA-1847A | Electronic Benefit Theft Replacement Request Form (English) | 10/01/2023 |
Download | Number | Name | Effective Date |
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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
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FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
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FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
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FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
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CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
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FAA-1494A | Authorized Representative Removal | 05/01/2023 |
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FAA-1494A-XLP | Authorized Representative Removal (Extra Large Print) | 05/01/2023 |
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FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
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FAA-1546A | Sponsor Deeming Information | 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-1171A | Strengths | 05/01/2022 |
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WIO-1162B | Arizona Job Connection (SCC) | 05/01/2022 |
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WIO-1171B | Strengths (SCC) | 05/01/2022 |
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CCA-1275A | Preschool Suspension and Expulsion Support for Families (English) | 05/01/2022 |
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WIO-1163A | Attitude | 05/01/2022 |
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WIO-1172A | Telephone Etiquette | 05/01/2022 |
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CCA-1275A-S | Preschool Suspension and Expulsion Support for Families (Spanish) | 05/01/2022 |
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WIO-1163B | Attitude (SCC) | 05/01/2022 |
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AD-475-B | And Justice for all | 05/01/2022 |
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WIO-1172B | Telephone Etiquette (SCC) | 05/01/2022 |
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