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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UC-522-FF | Adjustment Report (English) | 08/01/2023 |
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APS-1032A | Authorization to Release Non-HIPAA Information Form | 08/01/2023 |
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J-119 | Data Sharing Request/Agreement (Single Division) (English) | 08/01/2023 |
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CSE-1163A | Employer Address Information | 08/01/2023 |
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DDD-2234A | DDD Eligibility for Children Ages 3 to 6 Years (English/Spanish) | 08/01/2023 |
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DDD-1164A-S | Attendant Care Progress Notes (Spanish) | 08/01/2023 |
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VR-1048A | About AZ Hires Vets! | 08/01/2023 |
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AAA-1301A | Adult Protective Services (APS) Records Request Form (English) | 08/01/2023 |
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APS-1032A-S | Autorización para Divulgar Información sin cobertura de HIPAA | 08/01/2023 |
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FAA-1125A | Tribal/FAA - Turn Around Document (TAD) | 08/01/2023 |
Download | Number | Name | Effective Date |
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LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
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DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
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FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
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DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
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DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
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WIO-1108A | WIOA EO Monitoring Review Guide | 02/01/2023 |
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DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
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CCA-0100A | Provider's Child Care Operational Information | 01/01/2023 |
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CCA-0100A-S | Información de las Operaciones de un Proveedor de Cuidado de Niños | 01/01/2023 |
Download | Number | Name | Effective Date |
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Aging Plan 2015-2018 | Arizona State Plan on Aging 2015-2018 | 09/23/2014 |
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30th Month 13th 2014 | 30th Month Report 13th Fiscal Year 2014 | 09/15/2014 |
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DVSF2014 | Domestic Violence Shelter Fund Report for SFY 2014 | 09/15/2014 |
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Statistical Bulletin August 2014 | Statistical Bulletin August 2014 | 09/15/2014 |
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Tribal Consultation Report 2014 | Tribal Consultation Report 2014 | 09/05/2014 |
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Statistical Bulletin July 2014 | Statistical Bulletin July 2014 | 08/29/2014 |
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DES Welfare-2014 | Annual Welfare Reform Report 2014 | 08/28/2014 |
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30th Month June 2014 | 30th Month Report June Fiscal Year 2014 | 08/05/2014 |
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Statistical Bulletin June 2014 | Statistical Bulletin June 2014 | 07/15/2014 |
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30th Month May 2014 | 30th Month Report May Fiscal Year 2014 | 07/10/2014 |
Download | Number | Name | Effective Date |
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DDD-2094A-S | Pautas para la Construcción de Relaciones Vecinas Positivas | 05/01/2021 |
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AAA-1283A | Adult Protective Services (APS) (English) | 05/01/2021 |
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TAA-1087A-S | Programa de Subsidio por Ajuste de Comercio | 04/01/2021 |
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TAA-1086A | Trade Adjustment Assistance Program | 04/01/2021 |
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TAA-1086A-S | Programa de Subsidio por Ajuste de Comercio | 04/01/2021 |
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CCA-1284A | Finding Child Care You Can Trust | 04/01/2021 |
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CCA-1284A-S | Encontrar Cuidado Infantil en el que Pueda Confiar | 04/01/2021 |
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ESA-1362SA-S | Programe una cita virtual | 04/01/2021 |
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ESA-1362A | Virtual Appointment Scheduler | 04/01/2021 |
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DDD-2084A-S | Todos tienen derecho a estar seguros (Adulto) | 04/01/2021 |
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