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Download Number Form Name Effective Date
UB-192-S Employment Listing (Spanish) 05/01/2016
UB-194-FF Employer Verification or Requalifying Earnings 05/01/2016
SNA-1023AS Acuerdo Para Prácticas Laborales 04/01/2016
UIA-1013A Language Notification Flyer (UI) 04/01/2016
UIA-1057A Arizona Unemployment Insurance Basic Information (Bubble Sheet) 04/01/2016
CCA-1210B Child Care Provider Registration Agreement 04/01/2016
UIA-1057A-S Información básica del Seguro por Desempleo de Arizona 04/01/2016
GCI-1088B Child and Family Assessment Guide for Families (Accessible) 04/01/2016
CCA-1210B-S Acuerdo de Registro del Proveedor de Cuidado De Niños 04/01/2016
FAA-1529A Verification of Volunteers Hours 04/01/2016

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Download Number Form Name Effective Date
LCR-1025A Application for Initial HCBS Certification 06/01/2018
DDD-1406C Career Preparation and Readiness - Individual Training Agreement 06/01/2018
J-020-FFS Reclamación por Discriminación del Cliente 06/01/2018
LCR-1025A-S Solicitud para Certificación Inicial de HCBS 06/01/2018
DDD-1406B Career Preparation and Readiness - Six-Month Report 06/01/2018
J-020 Client Discrimination Complaint 06/01/2018
J-020-S-LP Reclamo Por Discriminación Del Cliente 06/01/2018
J-020-S Reclamación por Discriminación del Cliente 06/01/2018
J-020-S-LP Reclamación por Discriminación del Cliente (Large Print) 06/01/2018
Aging Plan 2019-2022 Arizona State Plan on Aging 2019-2022 06/01/2018

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