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-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
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GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
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FAA-0412A-LP | Change Report - Large Print (English) | 05/01/2023 |
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FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
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FAA-0412A | Change Report (English) | 05/01/2023 |
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AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
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FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
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FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
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FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
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AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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GCI-1021A | Individualized Family Service Plan - Packet | 04/01/2022 |
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GCI-1136A | Child File Review Form: Indicator 8a Transition Planning Meeting (TPM) (Guidance) | 04/01/2022 |
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GCI-1138A | Child File Review Form: Indicator 8b PEA Notification (Guidance) | 04/01/2022 |
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GCI-1140A | Child File Review Form: Indicator 8C Transition Conference (Guidance) | 04/01/2022 |
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ESA-1303A | Job Order | 04/01/2022 |
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DDD-1988A | PRC Disposition (English) | 03/01/2022 |
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DDD-1988A-S | PRC Disposition (Spanish) | 03/01/2022 |
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HRP-1014A | USDA Civil Rights Complaint and Grievance | 02/01/2022 |
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HRP-1014A-S | Denuncia y Queja de los Derechos Civiles de USDA | 02/01/2022 |
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AAA-1383A | Program Impact Report | 02/01/2022 |
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