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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PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
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FAA-1410A-LP | Grant Diversion Script and Applicant Agreement (Large Print) | 07/01/2023 |
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FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
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FAA-1410A-SLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Grande) | 07/01/2023 |
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ESA-1306A | Employment Service Registration | 07/01/2023 |
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FAA-0620C | Treatment Center Monthly Roster | 07/01/2023 |
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GCI-1148A-S | Directory of Early Intervention Programs (Spanish) | 07/01/2023 |
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FAA-1145A | Authorization to Share Information (English/Spanish) | 07/01/2023 |
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FAA-1410A-XLP | Grant Diversion Script and Applicant Agreement (Extra Large Print) | 07/01/2023 |
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ESA-1306A-S | Inscripción con el Servicio de Empleo | 07/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
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ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
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ETA-081-S | Solicitud Inicial de asistencia para desempleados por desastre | 09/01/2022 |
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DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
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CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
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DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
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RSA-1313A-SLP | Autorización de Divulgación de Registros de RSA (Letra Grande) | 09/01/2022 |
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RSA-1313A-LP | Authorization for Release of RSA Records (Large Print) | 09/01/2022 |
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RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
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