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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RRP-1017A | Program Participants Application for Recertification (English) | 11/01/2023 |
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GCI-1186A | Autism Screenings AzEIP Programmatic Meeting - October 2023 (English) | 11/01/2023 |
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RRP-1018A | Client Employment & Income Attestation Form (English) | 11/01/2023 |
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EAP-1006A-S | LIHEAP Portable Fuel Certification (Spanish) | 11/01/2023 |
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DDD-2076A | DDD Health Plan Care Management Referral (English) | 11/01/2023 |
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GCI-1185A | Transition AzEIP Programmatic Meeting (English) | 11/01/2023 |
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DDD-2252A | What is Employment First? (English/Spanish) | 11/01/2023 |
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RSA-1437A | Annual American Indian Disability Summit (English) | 11/01/2023 |
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RSA-1385A | BEP Guide for New VR Clients | 11/01/2023 |
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DDD-2238A | Home Delivered Meal Service Referral Form (English) | 11/01/2023 |
Download | Number | Name | Effective Date |
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DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
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CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
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FAA-1494A | Authorized Representative Removal | 05/01/2023 |
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GCI-1032A | IFSP Transition Meeting Invitation Prior Written Notice | 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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FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
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FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
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CCA-1170AS | Petición para el Retiro o Terminación de Solicitud - Para Proveedores de Cuidado de Niños | 05/01/2023 |
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FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
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GCI-1032A-S | Invitación a una Reunión de Transición del IFSP Notificación Previa por Escrito | 05/01/2023 |
Download | Number | Name | Effective Date |
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30th Month May-2017 | 30th Month Report May Fiscal Year 2017 | 07/14/2017 |
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SSBG Plan 2017-2018 | Social Services Block Grant Plan 2017-2018 | 07/01/2017 |
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30th Month Apr-2017 | 30th Month Report April Fiscal Year 2017 | 06/21/2017 |
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Statistical Bulletin May 2017 | Statistical Bulletin May 2017 | 06/14/2017 |
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APS SFY 2016 | Adult Protective Services Annual Activity 2016 Report | 06/01/2017 |
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2016 Homeless Lottery Funds Report | 2016 Homeless Lottery Funds Report | 06/01/2017 |
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DVS-1004A | Domestic Violence Monies Dec 2016 (English) | 06/01/2017 |
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6AAC3 | Five-year Review Report – Unemployment Insurance | 05/27/2017 |
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6AAC8 | Five-year Review Report - Aging and Adult Administration | 05/19/2017 |
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30th Month Mar-2017 | 30th Month Report March Fiscal Year 2017 | 05/16/2017 |
Download | Number | Name | Effective Date |
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AAA-1035A | Arizona Long-Term Care Ombudsman Program (English) | 10/01/2022 |
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GCI-1070A | Child and Family Rights in the Arizona Early Intervention Program (English) | 10/01/2022 |
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ETA-086 | Disaster Unemployment Assistance Handbook | 10/01/2022 |
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AAA-1035A-S | Arizona Long-Term Care Ombudsman Program (Spanish) | 10/01/2022 |
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GCI-1070A-S | Child and Family Rights in the Arizona Early Intervention Program (Spanish) | 10/01/2022 |
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ESA-1060A | Need Help Finding a Job? | 10/01/2022 |
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ESA-1184A | Employment Services for Veterans | 10/01/2022 |
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CCA-1101A-S | Proveedores de Cuidado de Niños en Arizona | 09/01/2022 |
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CCA-0223A | Non-Certified Relative Provider (NCRP) Requirements (English/Spanish) | 09/01/2022 |
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CCA-1101A | Child Care Providers in Arizona | 09/01/2022 |
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