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Download Number Form Name Effective Date
​FAA-0412A-XLP ​Change Report (Extra Large Print) 09/01/2019
SNA-1000A-S Derechos y Responsabilidades (Programa de Empleo y Capacitacion de las Asistencia Nutricional Suplementaria [SNA E&T]) 09/01/2019
​FAA-0412A-LP ​Change Report (Large Print) 09/01/2019
​FAA-0412A ​Change Report 09/01/2019
GCI-1041A Consent to Bill Health Insurance 09/01/2019
DDD-1620A Home Modification Service Property Owner Authorization for Home Modifications 09/01/2019
DDD-1532A-S Solicitud de Reducción Debido a Dificultad Económica 09/01/2019
FAA-0053A-LP Verification of New/Current Employment (Large Print) 09/01/2019
DDD-1620A-S Autorización del Propietario para las Adaptaciones en el Hogar mediante el Servicio de Adaptaciones en el Hogar 09/01/2019
FAA-0053A-XLP Verification of New/Current Employment (Extra Large Print) 09/01/2019

Download Number Form Name Effective Date
30th Month May-2018 30th Month Financial Report FY-2018 through May-2018 07/06/2018
SSBG Plan 2018-2019 Social Services Block Grant Plan 2018-2019 07/01/2018
CCA Market Rate Survey 18 Child Care Market Rate Survey 2018 07/01/2018
6AAC11 Five-Year-Review Report - The Job Training Partnership Act 06/30/2018
6AAC4 Five-Year-Review Report - Rehabilitation Services 06/30/2018
6AAC1 Five-Year Review Report - Department of Economic Security 06/30/2018
Statistical Bulletin May 2018 Statistical Bulletin May 2018 06/13/2018
30th Month Apr-2018 30th Month Financial Report FY-2018 through Apr-2018 06/06/2018
Aging Plan 2019-2022 Arizona State Plan on Aging 2019-2022 06/01/2018
Annual Report 2016-2017 2016-2017 DES Annual Report 05/16/2018

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