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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GCI-1049A | No Contact Letter | 07/01/2019 |
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SSBG Plan 2019-2020 | Social Services Block Grant Plan 2019-2020 | 07/01/2019 |
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CSE-1251A | Fact Sheet for Minor Parents (English/Spanish) | 07/01/2019 |
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RSA-1312A | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
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CCA-1230A-S | Evitar la lista de espera para el cuidado de niños | 07/01/2019 |
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RSA-1312A-S | Autorización Para Divulgación De Información De Salud a RSA | 07/01/2019 |
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DDD-1954-S | Participación en DDD | 07/01/2019 |
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UB-099-Y | Certification of Understanding (English / Spanish) | 07/01/2019 |
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LCR-1007A | Home Visit Report Supplement to Notice of Inspection and Due Process Rights | 07/01/2019 |
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CCA-0206A-S | Cuestionario para la Entrevista de Certificación Inicial | 07/01/2019 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
AAA-1346A-S | Verificación de Necesidad Médica | 12/01/2022 |
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LCR-1031B-S | Hogares de Desarrollo para Menores o Adultos - Guía de Evaluación del Cuidador | 12/01/2022 |
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LDU-1003A-S | Información Sobre una Disputa Laboral | 12/01/2022 |
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AAA-1345A-S | Solicitud del Programa de Reembolso al Cuidador Familiar de Arizona | 12/01/2022 |
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DDD-1541A | ALTCS Enrollment Transition Information (ETI) (English) | 12/01/2022 |
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CCA-0004A | Accident, Illness or Injury Report (Eng/Span) | 12/01/2022 |
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EAP-1004A | Applicant Statement of Tribal LIHEAP Denial (English) | 12/01/2022 |
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DDD-0522A | DDD Intake Record (English) | 12/01/2022 |
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CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
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HRP-1017A | Request to Terminate USDA Distribution Site | 01/01/2023 |
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