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-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
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FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
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FAA-1415A | Illegal Drug Use Statement (English) | 07/01/2023 |
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ESA-1306A-S | Inscripción con el Servicio de Empleo | 07/01/2023 |
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FAA-1818A | Nutrition Assistance (NA) Medical Expense Deduction | 07/01/2023 |
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DDD-1783A-S | Habilitation Outcome Strategies (Spanish) | 07/01/2023 |
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CCA-1197A-S | Plan de Preparación y Respuesta en Caso de una Emergencia para los Proveedores de Hogar Certificado para el Cuidado de Niños | 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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DDD-0308A | Individual Emergency Information - Residential | 07/01/2023 |
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CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care (English) | 07/01/2023 |
Download | Number | Name | Effective Date |
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CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
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HRP-1040A | Annual USDA Commodity Food Service Application and Agreement Between Regional Food Bank and Distribution Site | 09/01/2022 |
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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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GCI-1096A | Individual Family Teaming Report | 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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UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
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UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
Download | Number | Name | Effective Date |
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DDD-1896A | Employment Services: Do You Want To Work? | 03/01/2018 |
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DDD-1896A-S | Servicios de Empleo de la DDD: ¿Desea Trabajar? | 03/01/2018 |
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PAD-465-C | Definitions for AHCCCS Members | 01/01/2018 |
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HRP-1044A | CSFP Information Brochure | 11/01/2017 |
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HRP-1024A | SNAP Information Brochure | 11/01/2017 |
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DDD-1700A-S | Keep Your Baby Healthy (Spanish) | 08/14/2017 |
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DDD-1836A | Safety Information Fact Sheet #6 | 06/01/2017 |
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GCI-1102A | AzEIP Child and Family Outcomes- Accessible | 06/01/2017 |
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GCI-1102A-S | Evaluaciones de los Resultados de los Niños y las Familias - Accessible | 06/01/2017 |
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DDD-1807ACRD | Volunteer with a Human Rights Committee (Card) | 03/01/2017 |
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