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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. 
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Number Document Name Effective Date
FAA-0574A-S Retirar o Suspender Beneficios/Solicitud de Apelación 05/01/2023
AAA-1296A Protect Yourself and Medicare 05/01/2023
FAA-1249A-LP Verification of Disability (Large Print) 05/01/2023
FAA-1494A-S Remoción de un(a) Representante Autorizado(a) 05/01/2023
CCA-1163A-S Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) 05/01/2023
FAA-0098C-S Solicitud de Audiencia por Ajuste de Transacción EBT 05/01/2023
FAA-1353A-S Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional 05/01/2023
AzEIP-TAB-05012023 Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin 05/01/2023
FAA-0620A Treatment Center Change Report 05/01/2023
CCA-1164A Affidavit of Immunization Exemption - For Children in Care (English) 05/01/2023

Number Document Name Effective Date
CCA-1260A-S Solicitud de Proveedor Suplente 07/01/2019
LCR-1007A-S Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso 07/01/2019
CCA-1261A-S Solicitud de Proveedor Certificado de Cuidado de Niños Familiar 07/01/2019
GCI-1049A No Contact Letter 07/01/2019
CCA-1260A Back Up Provider Application 07/01/2019
CCA-1261A Certified Family Child Care Provider Application 07/01/2019
CCA-0206A-S Cuestionario para la Entrevista de Certificación Inicial 07/01/2019
UB-099-Y Certification of Understanding (English / Spanish) 07/01/2019
RSA-1367A-SLP Derechos de Apelación (Letra Grande) 06/01/2019
CCA-1259A DES Certified Home-Based Child-Care Provider Pre Application (English) 06/01/2019

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