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Reports, Forms, Pamphlets and Policies

You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services. 

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  1. Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down. 
  2. Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks. 
  3. You can click on the column headers to sort the search results.


Number Document Name Effective Date
30th Month August 2019 30th Month Financial Report FY 2019 through August 2019 11/05/2019
30th Month August 2020 30th Month Financial Report FY 2021 through August 2020 10/08/2020
30th Month August 2021 30th Month Financial Report FY 2022 through August 2021 10/27/2021
30th Month August 2023 30th Month Financial Report FY 2024 through August 2023 10/03/2023
30th Month August 2024 30th Month Financial Report FY 2025 through August 2024 10/11/2024
30th Month Dec 2017 30th Month Financial Report FY-2018 through Dec-2017 02/28/2018
30th Month Dec-2015 30th Month Report December Fiscal Year 2015 02/27/2015
30th Month Dec-2016 30th Month Report December Fiscal Year 2016 02/12/2016
30th Month Dec-2016 30th Month Report December Fiscal Year 2017 02/27/2017
30th Month Dec-2018 30th Month Financial Report FY-2019 through Dec-2018 02/15/2019

Number Document Name Effective Date
AG-030-A-FF Congregate Meals Report 07/01/2009
AG-030-B-FF Home Delivered Meals Report 07/01/2009
AG-031-N Social Service Report and Instructions for Non-Registered Services 08/01/2012
AG-031-R Social Service Report and Instructions for Registered Services 03/01/2010
AG-095 Arizona Standardized Client Assessment Plan (ASCAP) 11/01/2014
AG-119 Nutritional Health Screening Tool (English) 10/01/2023
AG-119-S Nutritional Health Screening Tool (Spanish) 10/01/2023
AH-800 AHCCCS Information for Applicants 11/01/2018
AH-800-S ¿Qué Servicios Cubre el Seguro de Salud de AHCCCS? 11/01/2018
APS-1032A Authorization to Release Non-HIPAA Information Form 08/01/2023

Number Document Name Effective Date
30th Month Dec 2017 30th Month Financial Report FY-2018 through Dec-2017 02/28/2018
30th Month Dec-2015 30th Month Report December Fiscal Year 2015 02/27/2015
30th Month Dec-2016 30th Month Report December Fiscal Year 2016 02/12/2016
30th Month Dec-2016 30th Month Report December Fiscal Year 2017 02/27/2017
30th Month Dec-2018 30th Month Financial Report FY-2019 through Dec-2018 02/15/2019
30th Month December 2014 30th Month Report December Fiscal Year 2014 02/24/2014
30th Month December 2019 30th Month Financial Report FY 2019 through December 2019 02/14/2020
30th Month December 2020 30th Month Financial Report FY 2021 through December 2020 03/26/2021
30th Month December 2021 30th Month Financial Report FY 2022 through December 2021 01/31/2022
30th Month December 2022 30th Month Financial Report FY 2023 through December 2022 01/31/2023

Number Document Name Effective Date
VR-12.3 12.3 Reader Services 03/31/2021
VR-12.4 12.4 Interpreting Services 03/31/2021
VR-12.5 12.5 Personal Assistance Services 03/31/2021
VR-12.6 12.6 Child Care Services 03/31/2021
VR-12.7 12.7 Information and Referral 04/08/2024
VR-12.8 12.8 Other Services 03/31/2021
VR-12.9 12.9 Client Equipment 12/30/2022
VR-13.1 13.1 Rehabilitation Technology 04/08/2024
VR-13.2 13.2 Adaptive Driving Evaluation and Adaptive Driving Training 09/30/2022
VR-13.3 13.3 Vehicle Modification 09/30/2022

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