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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FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
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FAA-1366A | Eligibility Requirements | 05/01/2023 |
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FAA-1494A | Authorized Representative Removal | 05/01/2023 |
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FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
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FAA-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
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FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
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GCI-1032A | IFSP Transition Meeting Invitation Prior Written Notice | 05/01/2023 |
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FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
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FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
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FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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CCA-1234A | Family Child Care Home Backup Provider Backup, Discipline, and Transportation Agreement | 04/01/2021 |
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CCA-1234A-S | Proveedor Suplente de Cuidado de Niños en el Hogar Acuerdo de Suplente, Disciplina y Transporte | 04/01/2021 |
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DDD-1436A | Behavioral Health Professional Consultation Summary (English) | 04/01/2021 |
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UIA-1069A | Application for Mixed Earners Unemployment Compensation | 04/01/2021 |
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UIA-1069A-S | Solicitud de Compensación por Desempleo de Asalariados Mixtos | 04/01/2021 |
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AAA-1218A | Arizona Family Caregiver Support Program (FCSP) Quarterly Summary Report | 03/01/2021 |
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DDD-2090A | Program Integrity Requirements Verification | 03/01/2021 |
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DDD-2093A | DDD Behavioral Health Advocate Referral | 03/01/2021 |
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DDD-2092A | DDD Behavioral Health Advocacy Plan | 03/01/2021 |
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DDD-2092A-S | Plan de Defensa de la Salud Conductual de la DDD | 03/01/2021 |
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