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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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| Download | Number | Name |
Effective Date |
|---|---|---|---|
|
FAA-1494A | Authorized Representative Removal | 05/01/2023 |
|
FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
|
FAA-1546A | Sponsor Deeming Information | 05/01/2023 |
|
FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
|
FAA-1725A-S | Verificación de Otros Ingresos | 05/01/2023 |
|
FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
|
FAA-0001A | Application for Benefits | 05/01/2023 |
|
FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
|
FAA-0620A | Treatment Center Change Report | 05/01/2023 |
|
FAA-1546A-S | Información de Determinar a un Patrocinador | 05/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-1506A-S | Declaración de No Tener Ingresos | 05/01/2023 |
|
FAA-1546A-S | Información de Determinar a un Patrocinador | 05/01/2023 |
|
FAA-1530A-LP | ABAWD Participation and Referral Notice (Large Print) | 05/01/2023 |
|
FAA-1494A-S | Remoción de un Representante Autorizado | 05/01/2023 |
|
FAA-1249A | Verification of Disability | 05/01/2023 |
|
FAA-0065A-XLP | Verification of Living Arrangements/Residential Address (Extra Large Print) | 05/01/2023 |
|
FAA-1530A-SLP | Recomendación y Participación a ABAWD (Letra Grande) | 05/01/2023 |
|
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
|
FAA-0065A-S | Verificación de Situación de Residencia/Dirección Residencial | 05/01/2023 |
|
FAA-0051A | Verification of Financial Accounts | 05/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
Statistical Bulletin April 2023 | Statistical Bulletin April 2023 | 05/17/2023 |
|
SSBG Plan 2023-2024 | Draft SSBG Plan 2023-2024 | 05/08/2023 |
|
30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
|
Statistical Bulletin March 2023 | Statistical Bulletin March 2023 | 04/21/2023 |
|
LIHWAP FY23 | Low Income Household Water Assistance Program (LIHWAP) Plan | 04/19/2023 |
|
LIHEAP Plan FY23 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/19/2023 |
|
30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
|
SCSEP State Plan 2020-2023 | Senior Community Service Employment Program (SCSEP) State Plan 2020-2023 | 03/15/2023 |
|
Statistical Bulletin February 2023 | Statistical Bulletin February 2023 | 03/10/2023 |
|
30th Month January 2023 | 30th Month Financial Report FY 2023 through January 2023 | 03/06/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
DCAD-LIHWAP-1 | Low Income Household Water Assistance Program Policy (Rev. 5 or ED 5/24/23) | 05/24/2023 |
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DCAD-GRIEVANCES | Grievances Policy | 05/05/2023 |
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DCAD-LIHEAP-1 | Low Income Home Energy Assistance Policy | 04/26/2023 |
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DCAD-ERAP | Emergency Rental Assistance Program Policy | 04/01/2023 |
|
VR-3.2 | 3.2 Eligibility and Order of Selection | 03/31/2023 |
|
VR-2.1 | 2.1 Protection, Use, and Release of Client Information | 03/31/2023 |
|
VR-13.5 | 13.5 Hearing Aids | 12/30/2022 |
|
VR-8.7 | 8.7 Assessments: Trial Work Experience | 12/30/2022 |
|
VR-4.5.4 | 4.5.4 Self-Employment - Business Startup, Progress Monitoring and Closure | 12/30/2022 |
|
VR-5.1 | 5.1 Closure Criteria | 12/30/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
AzEIP-TAB-05112023 | Transition Technical Assistance Bulletin | 05/11/2023 |
|
AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
|
AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
|
CSE-1061A | Establishing Paternity | 05/01/2023 |
|
CSE-1061A-S | Establecer la Paternidad | 05/01/2023 |
|
DDD-2200A | Parents As Paid Providers for Their Minor Children | 05/01/2023 |
|
DDD-2131B | Volunteers Needed/ Necesitan Voluntarios | 05/01/2023 |
|
WIO-1130A | Migrant and Seasonal Farmworker Resources Wallet Card | 04/01/2023 |
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DDD-2177A | Getting the Most from Your Pharmacy Benefits (English/Spanish) | 04/01/2023 |
|
WIO-1130A-S | Tarjeta de bolsillo con Recursos para Trabajadores Agrícolas Migrantes y de Temporada | 04/01/2023 |
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