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-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
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DDD-1622A | Home Modification Requests Support Coordinator’s (SC) Checklist (English) | 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 |
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FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
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CCA-0221A | Family Child Care Provider Statement of Services | 05/01/2023 |
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FAA-0412A-XLP | Change Report - Extra Large Print (English) | 05/01/2023 |
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FAA-1725A | Verification of Other Income | 05/01/2023 |
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FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
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FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UB-194-FF | Employer Verification or Requalifying Earnings | 04/01/2022 |
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GCI-1021E | Individualized Family Service Plan (IFSP) Transition | 04/01/2022 |
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CCA-1199A-S | Guía de Preparación en Caso de Emergencias y Planificación de Respuesta | 04/01/2022 |
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GCI-1131A | Child File Review Form: Indicator 1: Timely Provision of Services | 04/01/2022 |
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GCI-1021E-S | Plan Individualizado De Servicio Familiar (IFSP) Transición | 04/01/2022 |
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GCI-1135A | Child File Review Form: Indicator 8A Transition Planning Meeting (TPM) | 04/01/2022 |
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GCI-1137A | Child File Review Form: Indicator 8b PEA Notification | 04/01/2022 |
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GCI-1139A | Child File Review Form: Indicator 8C Transition Conference | 04/01/2022 |
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GCI-1132A | Child File Review Form: Indicator 1: Timely Provision of Services (Guidance) | 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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