You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
CC-214 | Child Care Provider Rate Agreement | 11/01/2022 |
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GCI-1106A-S | Proveedores del Cuidado de Niños del Programa de Intervención Temprana de Arizona | 11/01/2022 |
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CC-214-S | Acuerdo de Tarifas del Proveedor de Cuidado de Niños | 11/01/2022 |
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CC-214-A | Relative Child Care Provider Rate Agreement | 11/01/2022 |
|
CC-214-A-S | Acuerdo de Tarifa para Parientes Proveedores de Cuidado de Niños | 11/01/2022 |
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DDD-0525A-S | Application for Initial Eligibility Determination (Spanish) | 11/01/2022 |
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CSE-1165A | Acknowledgment Tracking Form | 11/01/2022 |
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VR-1009A-S | Manual del Cliente de Rehabilitación Vocacional | 11/01/2022 |
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DDD-0525A | Application for Initial Eligibility Determination (English) | 11/01/2022 |
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VR-1009A-SLP | Manual del Cliente de Rehabilitación Vocacional (Letra grande) | 11/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1141A-S | Inscripción con Depósito Directo para Proveedores o Parientes Autorizados Por el DES | 05/01/2018 |
|
RSA-1313A | Authorization for Release of RSA Records | 05/01/2018 |
|
RSA-1313A-S | Autorización de Divulgación de Registros de RSA | 05/01/2018 |
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DDD-1404C | Employment Support Aide - Quality Assurance Review | 05/01/2018 |
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PPP-1063A | HIPAA Privacy Complaints (English) | 05/01/2018 |
|
UB-296 | Report of Illness or Physical Disability (English) | 05/01/2018 |
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ETA-081A | Supplement to Application for DUA Self-Employed Individuals | 04/01/2018 |
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CSE-1171A | Affidavit of Financial Information (English/Spanish) | 04/01/2018 |
|
LCR-1080A | Licensing Investigation Template | 04/01/2018 |
|
LCR-1080B | Licensing Investigation Procedural Tool | 04/01/2018 |
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