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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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Number Document Name Effective Date
CCA-1312A-S Acuerdo del Proveedor/Padre/Madre/Tutor Acerca de los Costos de Cuidado de Niños No Cubiertos por el DES 03/01/2023
Statistical Bulletin January 2023 Statistical Bulletin January 2023 02/28/2023
Arizona Legislative District Demographics Handbook 2022 Arizona Legislative District Demographics Handbook 2022 02/15/2023
SPP-APR-C FFY2021 State Performance Plan / Annual Performance Report: Part C FFY 2021 02/03/2023
CCA-1216A Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES 02/01/2023
DDD-2173A Request for Amended/Correction of Protected Health Information (PHI) 02/01/2023
DDD-2171A Accounting Disclosures Tracking 02/01/2023
LCR-1084A Application for Renewal or Amended HCBS Certificate for Independent Providers (English) 02/01/2023
DDD-2174A Request for Restriction of Protected Health Information (PHI) 02/01/2023
DDD-1883A-S ¿Qué es PASRR? Una guía para las familias 02/01/2023

Number Document Name Effective Date
DDD-289 Child Developmental Foster Home Agreement 04/01/2018
UIT-1146A Limited Power of Attorney (English) 04/01/2018
DES-1076AS Solicitud Para La Búsqueda En El Registro Central Con Objetivo De Verificar Antecedentes 03/01/2018
UB-108 Name and Address Change Request (English / Spanish) 03/01/2018
DD-099-A Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old 03/01/2018
DD-099-B Pre-PAS Screening Tool for Members at Least 2 Years 10 Months Old, But Less than 6 Years Old 03/01/2018
UB-092-A Confidential Financial Statement (English) 03/01/2018
DD-099-C Pre-PAS Screening Tool Only for Members between 6 and 11 Years Old 03/01/2018
UB-092-A-S Confidential Financial Statement (Spanish) 03/01/2018
UC-514 Report of Changes Form (English) 03/01/2018

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