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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UIT-0603A (FY2024) | Unemployment Insurance Tax Rate Chart - FY 2024 (English) | 12/01/2023 |
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AzEIP-TAB-11302023 | Updated AzEIP Early Intervention Contact Log (GCI-1094A) and Policy Reminders Technical Assistance Bulletin | 11/30/2023 |
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GCI-1190A | AzEIP Eligibility Criteria for Established Conditions Technical Assistance Bulletin | 11/29/2023 |
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Statistical Bulletin October 2023 | Statistical Bulletin October 2023 | 11/27/2023 |
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30th Month September 2023 | 30th Month Financial Report FY 2024 through September 2023 | 11/09/2023 |
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UIB-1267A-S | Unemployment Insurance Benefits for Federal Employees Impacted by the Federal Government Shutdown (Spanish) | 11/01/2023 |
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EAP-1006A | LIHEAP Portable Fuel Certification (English) | 11/01/2023 |
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DDD-2255A | What to Do If You Have an Emergency (English/Spanish) | 11/01/2023 |
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DDD-2076A | DDD Health Plan Care Management Referral (English) | 11/01/2023 |
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UB-106-T-I | Completion Instructions for Approved Training Continued Claim, UB-106-T (English) | 11/01/2023 |
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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FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
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CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
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FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
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FAA-1004A-S | Designation of EBT Alternate Card Holder (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-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
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DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
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CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
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FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
Download | Number | Name | Effective Date |
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Statistical Bulletin April 2016 | Statistical Bulletin April 2016 | 05/10/2016 |
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Arizona PY 14 WIA Title I-B Annual Report | WIA 2014 Annual Report | 05/01/2016 |
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WIA 2014 Annual Report | Arizona PY14 WIA Title I-B Annual Report | 05/01/2016 |
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WIA-1046A | Arizona PY 14 WIA Title I-B Annual Report | 05/01/2016 |
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Statistical Bulletin March 2016 | Statistical Bulletin March 2016 | 04/13/2016 |
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30th Month Feb-2016 | 30th Month Report February Fiscal Year 2016 | 04/11/2016 |
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6AAC5 - Articles 65-80 | Five-year Review Report - Social Services: Licensing Standards, Licensing Facilities, Appeals and Hearings | 03/31/2016 |
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6AAC10 | Five-year Review Report - The Jobs Program | 03/16/2016 |
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Statistical Bulletin February 2016 | Statistical Bulletin February 2016 | 03/15/2016 |
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30th Month Jan-2016 | 30th Month Report January Fiscal Year 2016 | 03/10/2016 |
Download | Number | Name | Effective Date |
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WIO-1174B | Veterans (SCC) | 05/01/2022 |
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WIO-1167A | Interview Questions | 05/01/2022 |
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WIO-1163A | Attitude | 05/01/2022 |
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AAA-1304A-S | Home and Community Based Services (Spanish) | 05/01/2022 |
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AAA-1304A | Home and Community Based Services (English) | 05/01/2022 |
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WIO-1167B | Interview Questions (SCC) | 05/01/2022 |
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WIO-1163B | Attitude (SCC) | 05/01/2022 |
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WIO-1168A | Keeping Your Job | 05/01/2022 |
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WIO-1164A | Background Questions | 05/01/2022 |
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AAA-1289A | Family Caregiver Support Program (English) | 05/01/2022 |
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