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-1783A-S | Habilitation Outcome Strategies (Spanish) | 07/01/2023 |
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FAA-1819A | EBT Card Safety and Fraud Prevention | 07/01/2023 |
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FAA-0620D | Supplemental Pages for the Treatment Center Monthly Roster | 07/01/2023 |
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CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care (English) | 07/01/2023 |
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FAA-1775A | How Do I File a Complaint (English/Spanish) | 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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DDD-0308A | Individual Emergency Information - Residential | 07/01/2023 |
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CCA-1176A-S | Parent/Guardian Affidavit of Non-Compensated Child Care (Spanish) | 07/01/2023 |
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FAA-1724A-LP | Application Signature Pages (Large Print) | 07/01/2023 |
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CCA-1198A | Acknowledgement of Receipt and Understanding | 07/01/2023 |
Download | Number | Name | Effective Date |
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LCR-1005A-S | Notice of Inspection Rights (Spanish) | 10/01/2022 |
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LCR-1025A | Application for Initial HCBS Certification (English) | 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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DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
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DES-1232A | Arizona Voter Registration Form (Bilingual) | 09/01/2022 |
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DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
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ETA-83 | Weekly Request for Assistance | 09/01/2022 |
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ETA-083-S | Solicitud Semanal de Asistencia | 09/01/2022 |
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ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1732A-S | Incontinence Briefs for Adults 21 Years and older (Spanish) | 11/01/2018 |
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DDD-1732A | Incontinence Briefs for Adults 21 Years and older (English) | 11/01/2018 |
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AAA-1167A-S | Asistencia Legal para los Arizonenses de la Tercera Edad | 08/01/2018 |
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AAA-1167A | Legal Assistance for Older Arizonans | 08/01/2018 |
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DUA-1002A | Disaster Unemployment Assistance (Bilingual) | 08/01/2018 |
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AAA-1265A | Mature Worker Program | 07/01/2018 |
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GCI-1007A | Arizona Early Intervention Program (AzEIP) (English) | 07/01/2018 |
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GCI-1007A-S | Arizona Early Intervention Program (AzEIP) (Spanish) | 07/01/2018 |
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VOS-1012A | Where Volunteers are Valued | 04/01/2018 |
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PAU-592 | Data Disclosure Information and Fee Schedule | 04/01/2018 |
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