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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DDD-2116A-S | Community Resource Guide (Spanish) | 02/01/2024 |
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DDD-0465A | Arizona Long Term Care System (ALTCS) Member Handbook (English) | 02/01/2024 |
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DCAD-1004A | Self-Employment Income Statement (English) | 02/01/2024 |
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DCAD-1004A-S | Self-Employment Income Statement (Spanish) | 02/01/2024 |
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UB-105 | Arizona Initial Claim for Unemployment Insurance (English) | 02/01/2024 |
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GCI-1188A | AzEIP Job Aid Service Coordinator Monthly Family Contact (English) | 02/01/2024 |
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HRP-1037A-S | Commodity Senior Food Program (CSFP) Recertification Notice (Spanish) | 02/01/2024 |
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UB-105-S | Arizona Initial Claim for Unemployment Insurance (Spanish) | 02/01/2024 |
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FAA-0001A-S | Application for Benefits (Spanish) | 02/01/2024 |
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HRP-1013A | The Emergency Food Assistance Program Household Distribution Site Sign-In Sheet (English/Spanish) | 02/01/2024 |
Download | Number | Name | Effective Date |
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AAA-1301A | Adult Protective Services (APS) Records Request Form (English) | 08/01/2023 |
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DDD-2233A | RFQVA Assurances and Submittal Attestation (English) | 08/01/2023 |
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DDD-2236A | Qualified Vendor Application Approval (English) | 08/01/2023 |
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GCI-1164A | FFY 2021 Tier Definitions and Correction Requirements | 07/07/2023 |
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FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
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ESA-1306A | Employment Service Registration | 07/01/2023 |
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ESA-1306A-S | Inscripción con el Servicio de Empleo | 07/01/2023 |
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PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
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FAA-1724A-LP | Application Signature Pages (Large Print) | 07/01/2023 |
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FAA-1724A-XLP | Application Signature Pages (Extra Large Print) | 07/01/2023 |
Download | Number | Name | Effective Date |
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30th Month February 2020 | 30th Month Financial Report FY 2020 through February 2020 | 04/23/2020 |
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Statistical Bulletin March 2020 | Statistical Bulletin March 2020 | 04/15/2020 |
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Statistical Bulletin February 2020 | Statistical Bulletin February 2020 | 03/31/2020 |
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30th Month January 2020 | 30th Month Financial Report FY 2020 through January 2020 | 03/19/2020 |
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SFMNP-WIC-FMNP | Seniors Farmer's Market Nutrition Program (SFMNP) and the WIC Farmer's Market Nutrition (FMNP) Program Policy and Procedure Manual | 03/03/2020 |
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Statistical Bulletin January 2020 | Statistical Bulletin January 2020 | 02/28/2020 |
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30th Month December 2019 | 30th Month Financial Report FY 2019 through December 2019 | 02/14/2020 |
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6AAC14 | Five-Year Review Report - Food Stamps Program | 02/04/2020 |
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Statistical Bulletin December 2019 | Statistical Bulletin December 2019 | 02/04/2020 |
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30th Month November 2019 | 30th Month Financial Report FY 2019 through November 2019 | 01/07/2020 |
Download | Number | Name | Effective Date |
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FAA-1513A-S | Consejos para Ahorrar Tiempo | 07/01/2023 |
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GCI-1162A | AzEIP Interim IFSP Decision Tree | 07/01/2023 |
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GCI-1161A | AzEIP Programmatic Meeting | 07/01/2023 |
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FAA-1492A-S | Representantes Autorizados - Derechos y Responsabilidades | 07/01/2023 |
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GCI-1148A-S | Directory of Early Intervention Programs (Spanish) | 07/01/2023 |
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FAA-1513A-LP | Time Savings Tips (Large Print) | 07/01/2023 |
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FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2023 |
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FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
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FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
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FAA-1055A-S | ¡HAGA CORRER LA VOZ! | 06/01/2023 |
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