You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0255A-S | Afirmación De Hogares Por Separado | 05/01/2023 |
FAA-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
FAA-0620A | Treatment Center Change Report | 05/01/2023 |
CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
GCI-1033A-S | Resumen de la Conferencia de Transición | 05/01/2023 |
FAA-1506A | Statement of No Income (English) | 05/01/2023 |
FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
FAA-0255A | Separate Household Status Statement | 05/01/2023 |
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
LCR-1030A | Request to Withdraw HCBS Certification | 10/01/2020 |
CCA-1272A-S | Reconocimiento de los padres de AZ STEPS | 09/01/2020 |
LCR-1025A-S | Application for Initial HCBS Certification (Spanish) | 09/01/2020 |
WIO-1031A | Training Program Credential Checklist (English) | 09/01/2020 |
CCA-1272A | AZ STEPS Parent Acknowledgement | 09/01/2020 |
J-020 | Discrimination Complaint- Clients, Applicants and Contractors (English) | 08/01/2020 |
J-020-S | Discrimination Complaint- Clients, Applicants and Contractors (Spanish) | 08/01/2020 |
J-020-SLP | Discrimination Complaint - Clients, Applicants and Contractors - Large Print (Spanish) | 08/01/2020 |
GCI-1083A | Consent for Child Assessment | 08/01/2020 |
GCI-1083AS | Consentimiento para la Evaluación del Niño | 08/01/2020 |
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