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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DDD-1783A-S | Habilitation Outcome Strategies (Spanish) | 07/01/2023 |
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FAA-0620D | Supplemental Pages for the Treatment Center Monthly Roster | 07/01/2023 |
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CCA-1197A-S | Plan de Preparación y Respuesta en Caso de una Emergencia para los Proveedores de Hogar Certificado para el Cuidado de Niños | 07/01/2023 |
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PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
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FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
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CCA-1198A-S | Acuse de Recibo y Entendimiento | 07/01/2023 |
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FAA-1825A | Elderly Simplified Application Project (ESAP) Flyer | 07/01/2023 |
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DDD-0308A | Individual Emergency Information - Residential | 07/01/2023 |
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CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care | 07/01/2023 |
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LCR-1028A | Agency Roster of Employees (English) | 07/01/2023 |
Download | Number | Name | Effective Date |
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BEP-1010A | Operator Out of State and Instate Travel Procedure | 08/01/2022 |
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FAA-1570A-S | Acuerdo de Sanción de Asistencia en efectivo (CA) por condena de drogas | 08/01/2022 |
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FAA-1570A | Cash Assistance Drug Conviction Sanction Agreement | 08/01/2022 |
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DDD-2149A | Authorization to Release Records | 08/01/2022 |
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FAA-1828A | Provider Determination (English) | 08/01/2022 |
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HRP-1052A-S | Aviso de Acción del Programa Suplementario de Comestibles Básicos (CSFP) | 08/01/2022 |
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HRP-1028A | Application for Benefits (TEFAP, CSFP) | 08/01/2022 |
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HRP-1052A | CSFP Notice of Action | 08/01/2022 |
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HRP-1032A-S | Programa Suplementario de Comestibles Básicos (CSFP) Solicitud para Reunión Informal de Resolución de Disputas / Audiencia Imparcial | 08/01/2022 |
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GCI-1147B | Records Request Response (Contractors) | 08/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
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DDD-1807ACRD-S | Volunteer with a Human Rights Committee (Card Spanish) | 03/01/2017 |
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OBM-1000A | The Office of the Ombudsman | 01/01/2017 |
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OBM-1000A-S | La Oficina de Defensor de Cliente | 01/01/2017 |
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DDD-1795APAMS | Dental Care Adult (Ages 21+) (Spanish) | 12/01/2016 |
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DDD-1795APAMPD | Dental Care Adult (Ages 21+) (English) | 12/01/2016 |
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DDD-1751A | Responsible Driving Information Fact Sheet#6 (English) | 07/01/2016 |
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UIB-1220A | The Following Information is Required to File a New Application | 06/01/2016 |
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DDD-1745A-S | Vehicle Safety Buckle Up - Q&A's (Spanish) | 06/01/2016 |
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DDD-1745A | Vehicle Safety Buckle Up - Q&A's (English) | 05/01/2016 |
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UIB-1219B | How to File Your Weekly Claim (Bilingual) | 04/01/2016 |
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