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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FAA-1818A | Nutrition Assistance (NA) Medical Expense Deduction | 07/01/2023 |
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FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
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FAA-1724A-SXLP | Páginas de Firma de la Solicitud (Letra Extra Grande) | 07/01/2023 |
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LCR-1041A | Voluntary Withdrawal of Application for Licensure or Voluntary Closure of License | 07/01/2023 |
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CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care | 07/01/2023 |
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FAA-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
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FAA-1410A | Grant Diversion Script and Applicant Agreement | 07/01/2023 |
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DDD-0308A | Individual Emergency Information - Residential | 07/01/2023 |
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LCR-1041A-S | Retiro Voluntario de la Solicitud de Licenciamiento o Cierre Voluntario de Licencia | 07/01/2023 |
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CCA-1176A-S | Declaración Jurada del Padre o Tutor por Cuidado de Niños no Remunerado | 07/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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GCI-1147A | Records Request Response (AzEIP) | 10/01/2022 |
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RSA-1313A-SLP | Autorización de Divulgación de Registros de RSA (Letra Grande) | 09/01/2022 |
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RSA-1313A-LP | Authorization for Release of RSA Records (Large Print) | 09/01/2022 |
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RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
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RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
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RSA-1365A-LP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD And RSA (Large Print) | 09/01/2022 |
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DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
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RSA-1365A-SLP | Autorización/Consentimiento para Divulgación y Uso de Información Confidencial entre DDD y RSA (Letra Grande) | 09/01/2022 |
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CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
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DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CSE-1251A | Fact Sheet for Minor Parents (English/Spanish) | 07/01/2019 |
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DDD-0517A-S | Working With You (Spanish) | 06/01/2019 |
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GCI-1081A | Interagency Coordinating Council for Infants and Toddlers (Consejo de Coordinación Interinstitucional para Bebés y Niños Pequeños) | 06/01/2019 |
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DDD-0517A | Working With You (English) | 06/01/2019 |
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AAA-1324A | Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing | 05/01/2019 |
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DDD-2010A | Out-of-Network Claims Submission Guide | 05/01/2019 |
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CCA-1253A | Choosing Quality Child Care (English/Spanish) | 04/01/2019 |
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FAA-1375A | Nutrition Assistance Posters | 04/01/2019 |
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AAA-1316A | SNAP-O Partnership | 04/01/2019 |
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UIT-1191A | Bulk UI Tax Rate Request Process and Information | 04/01/2019 |
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