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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LCR-1040A-S | Divulgación de Información de Salud Personal/Declaración del Médico | 01/01/2018 |
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TANF-WVP 2018 | Temporary Assistance for Needy Families (TANF) Work Verification Plan 2018 | 01/01/2018 |
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PAD-465-C | Definitions for AHCCCS Members | 01/01/2018 |
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30th Month Oct 2017 | 30th Month Financial Report FY-2018 through Oct-2017 | 01/03/2018 |
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Tribal Consultation Report 2017 | Tribal Consultation Report 2017 | 01/18/2018 |
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30th Month Nov 2017 | 30th Month Financial Report FY-2018 through Nov-2017 | 01/30/2018 |
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Statistical Bulletin December 2017 | Statistical Bulletin December 2017 | 01/31/2018 |
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DDD-1590A | Monthly Invoice Cover Sheet (English) | 02/01/2018 |
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CSE-1284A | Parent’s agreement to be bound by genetic test results (Eng/Spa) | 02/01/2018 |
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2017 Homeless Lottery Funds Report | 2017 Homeless Lottery Funds Report | 02/01/2018 |
Download | Number | Name | Effective Date |
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CCA-1287A-S | Registro de Simulacros de Evacuación de Emergencia | 05/01/2021 |
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DDD-1530A-LP | Managed Risk Agreement Services and/or Placement (Large Print) | 05/01/2021 |
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DDD-1530A-S | Managed Risk Agreement Services and/or Placement (Spanish) | 05/01/2021 |
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UIB-0098L | Eligibility Investigation Record - Transient Lodging Seasonal Employment | 06/01/2021 |
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UIB-0098E | Eligibility Investigation Record - Education/School Bus Wages | 06/01/2021 |
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UIB-0098F | Job Offer Development, Referral, Eligibility Investigation Record | 06/01/2021 |
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DDD-2107A | What Works and What Doesn't Work Worksheet | 06/01/2021 |
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DDD-2106A | Member's Circles of Support | 06/01/2021 |
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DDD-2107A-S | Hoja de Trabajo Sobre lo que Funciona y lo que no Funciona | 06/01/2021 |
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UIB-0098C | Eligibility Investigation Record - WC ALT. Base Period | 06/01/2021 |
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