You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
AAA-1301A-S | Adult Protective Services (APS) Records Request Form (Spanish) | 08/01/2023 |
RRP-1015A-Tigrinya | Statement of Understanding (Tigrinya) | 08/01/2023 |
DDD-1426A | Request for Incontinence Briefs for Members Ages 3 and Above (English) | 08/01/2023 |
APS-1032A | Authorization to Release Non-HIPAA Information Form | 08/01/2023 |
DDD-2234A | DDD Eligibility for Children Ages 3 to 6 Years (English/Spanish) | 08/01/2023 |
RRP-1015A-French | Statement of Understanding (French) | 08/01/2023 |
APS-1032A-S | Autorización para Divulgar Información sin cobertura de HIPAA | 08/01/2023 |
RRP-1015A-Arabic | Statement of Understanding (Arabic) | 08/01/2023 |
Statistical Bulletin June 2023 | Statistical Bulletin June 2023 | 07/25/2023 |
GCI-1171A | IFSP AzEIP Programmatic Meeting | 07/25/2023 |
Number | Document Name | Effective Date |
---|---|---|
RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
DES-1232A | Arizona Voter Registration Form (Bilingual) | 09/01/2022 |
RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
GCI-1096A | Individual Family Teaming Report | 09/01/2022 |
DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
ETA-83 | Weekly Request for Assistance | 09/01/2022 |
UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
ETA-083-S | Solicitud Semanal de Asistencia | 09/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
DUA-1002A | Disaster Unemployment Assistance (Bilingual) | 08/01/2018 |
AAA-1265A | Mature Worker Program | 07/01/2018 |
GCI-1007A | Arizona Early Intervention Program (AzEIP) (English) | 07/01/2018 |
GCI-1007A-S | Arizona Early Intervention Program (AzEIP) (Spanish) | 07/01/2018 |
VOS-1012A | Where Volunteers are Valued | 04/01/2018 |
PAU-592 | Data Disclosure Information and Fee Schedule | 04/01/2018 |
DDD-1896A | Employment Services: Do You Want To Work? | 03/01/2018 |
DDD-1896A-S | Servicios de Empleo de la DDD: ¿Desea Trabajar? | 03/01/2018 |
PAD-465-C | Definitions for AHCCCS Members | 01/01/2018 |
HRP-1024A | SNAP Information Brochure | 11/01/2017 |
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