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Download Number Form Name Effective Date
FA-260-FFS Reclamo de Asalto Sexual 07/01/2017
FA-191-FF Employability Data 07/01/2017
DDD-1401C Center Based Employment - Quality Assurance Review 07/01/2017
FA-257 Individual Development Account Agreement 07/01/2017
CS-454 Affidavit Supporting Paternity 07/01/2017
FAA-1125A Tribal/FAA - Turn Around Document (TAD) 07/01/2017
FA-259-FF Unwed Minor Parent Abuse/Neglect Claim 07/01/2017
FA-259-FF-S Reclamo de Abuso o Negligencia de Un Padre/Madre Soltero/A Que es Menor de Edad 07/01/2017
FA-065-FFS Verificación de Arreglos de Vivienda/Dirección Residencial 07/01/2017
CCA-1229A Provider Home Certification Request for Search of Background Checks 06/01/2017

Download Number Form Name Effective Date
DES Welfare-2007 DES Welfare Report 2007 12/31/2007
Statistical Bulletin Dec 07 Statistical Bulletin Dec 2007 12/31/2007
Rehabilitation Council Annual Report 2007 Governor?s State Rehabilitation Council 2007 Annual Report 12/31/2007
Annual Report on Homelessness 2007 16th Annual Report on Homelessness December 2007 12/01/2007
Statistical Bulletin Nov 07 Statistical Bulletin Nov 2007 11/30/2007
IACLTC 2007 Interagency Council on Long Term Care 2007 Annual Report 11/15/2007
Statistical Bulletin Oct 07 Statistical Bulletin Oct 2007 10/31/2007
Family Support Program 2007 DDD Family Support Program Annual Report 2007 10/03/2007
Aging Plan 2008-2010 Arizona State Plan on Aging 2008-2010 10/01/2007
2007 Child Care Report to JLBC Child Care Report to JLBC 2007 10/01/2007

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Download Number Form Name Effective Date
UB-010 Eligibility Review Questionnaire 09/01/2018
FA-255 Separate Household Status Statement 09/01/2018
FAA-1217A Request for Verification of Godparent Specified Relative 09/01/2018
UB-010-S Cuestionario para Revisión de Admisibilidad 09/01/2018
FA-161 Tribal Native Employment Works (New) Referral 09/01/2018
DES-1077A-LP Notice of Privacy Practices (Large Print) 09/01/2018
DES-1077A-S Aviso Sobre Las Prácticas de Confidencialidad 09/01/2018
DES-1077A-S-LP Aviso Sobre las Prácticas de Confidencialidad (Letra Grande) 09/01/2018
DDD-1749A Support Coordinator Guide to AAC Evaluation Referrals 09/01/2018
DES-1059A Authorization to Release Information 09/01/2018

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