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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CCA-0229A-FY24 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2024 (English/Spanish) | 10/01/2023 |
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ESA-1314B | Notification of Complaint to Employer | 10/01/2023 |
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UB-106A | Weekly Claim for Unemployment Insurance (UI) Benefits (English) | 10/01/2023 |
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AAA-1182A | Arizona Nutrition, Food Service and Wellness Manual (English) | 10/01/2023 |
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CSE-1290A | Caretakers Statement Regarding Physical Custody of a Child | 10/01/2023 |
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AG-119 | Nutritional Health Screening Tool (English) | 10/01/2023 |
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ESA-1314B-S | Notificación de Queja al Empleador | 10/01/2023 |
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UB-106A-S | Weekly Claim for Unemployment Insurance (UI) Benefits (Spanish) | 10/01/2023 |
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CSE-1290A-S | Declaración del Cuidador Referente a la Custodia Física de un Menor o Menores | 10/01/2023 |
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AG-119-S | Nutritional Health Screening Tool (Spanish) | 10/01/2023 |
Download | Number | Name | Effective Date |
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
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DDD-1622A | Home Modification Requests Support Coordinator’s (SC) Checklist (English) | 05/01/2023 |
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FAA-0412A-S | Change Report (Spanish) | 05/01/2023 |
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CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
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FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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FAA-0412A-XLP | Change Report - Extra Large Print (English) | 05/01/2023 |
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FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
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FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
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GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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SSBG Plan 2016-2017 | Social Services Block Grant Plan 2016-2017 | 07/01/2016 |
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DDD-1748B | Strategic Plan 2016-2020 Overview | 07/01/2016 |
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Statistical Bulletin May 2016 | Statistical Bulletin May 2016 | 06/10/2016 |
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30th Month Apr-2016 | 30th Month Report April Fiscal Year 2016 | 06/09/2016 |
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30th Month Mar-2016 | 30th Month Report March Fiscal Year 2016 | 06/07/2016 |
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DDD-1748B-S | Plan Estratégico 2016-2020 Resumen | 06/01/2016 |
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SNA State Plan 2016 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2016 | 06/01/2016 |
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DDD-1748A | Strategic Plan 2016 - 2020 | 06/01/2016 |
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Statistical Bulletin April 2016 | Statistical Bulletin April 2016 | 05/10/2016 |
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Arizona PY 14 WIA Title I-B Annual Report | WIA 2014 Annual Report | 05/01/2016 |
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