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Download Number Form Name Effective Date
FAA-1362A-S Solicitud para reemplazo / suplemento de asistencia nutricional 11/01/2017
FAA-1523A Cash Programs Personal Responsibility Agreement (PRA) 11/01/2017
FAA-1523A-S Acuerdo de responsabilidad personal (PRA) del programa de asistencia en efectivo 11/01/2017
FAA-1506A-S Declaración del Cliente de Que No Tiene Ingresos 11/01/2017
FAA-1506A Customer Statement of No Income 11/01/2017
FAA-1097A Young Adult Transitional Insurance (YATI) Referral 09/01/2017
FAA-1570A Cash Assistance Drug Conviction Sanction Agreement 08/01/2017
FA-065-FFS Verificación de Arreglos de Vivienda/Dirección Residencial 07/01/2017
FA-191-FF Employability Data 07/01/2017
FA-257 Individual Development Account Agreement 07/01/2017

Download Number Form Name Effective Date
Annual Report 2016-2017 2016-2017 DES Annual Report 05/16/2018
Public Report of AzEIP 2016 Public Report of Early Intervention Services Programs, 2016 05/14/2018
30th Month Mar-2018 30th Month Financial Report FY-2018 through Mar-2018 05/04/2018
Statistical Bulletin March 2018 Statistical Bulletin March 2018 04/17/2018
30th Month Feb-2018 30th Month Financial Report FY-2018 through Feb-2018 03/30/2018
Statistical Bulletin February 2018 Statistical Bulletin February 2018 03/26/2018
30th Month Jan-2018 30th Month Financial Report FY-2018 through Jan-2018 03/16/2018
Statistical Bulletin January 2018 Statistical Bulletin January 2018 02/28/2018
30th Month Dec 2017 30th Month Financial Report FY-2018 through Dec-2017 02/28/2018
2017 Homeless Lottery Funds Report 2017 Homeless Lottery Funds Report 02/01/2018

No results available.

Download Number Form Name Effective Date
FAA-0032A Information Needed to Complete Your Case (English/Spanish) 07/01/2019
DDD-1954-S Participación en DDD 07/01/2019
CSE-1299A DCSS Resource Customer Guide 06/01/2019
ESA-1060A Reemployment Workforce Services 06/01/2019
ESA-1060A-S Servicios de Reintegración Laboral 06/01/2019
CSE-1051A How to Apply for IV-D Child Support Services 06/01/2019
DDD-0517A Working With You 06/01/2019
GCI-1081A Interagency Coordinating Council for Infants and Toddlers (Consejo de Coordinación Interinstitucional para Bebés y Niños Pequeños) 06/01/2019
JOB-1135A Arizona Jobs Program 06/01/2019
JOB-1135A-S Programa Jobs de Arizona 06/01/2019


Download Number Form Name Effective Date
FAA-1513A-S Consejos para Ahorrar Tiempo 07/01/2018
FAA-1004A-S Designación de Titular Sustituto para la Tarjeta de EBT 07/01/2018
FAA-1004A Designation of EBT Alternate Card Holder 07/01/2018
FAA-1533A Verification of Unfitness for Work for Adults 07/01/2018
FA-060 Authority to Release Student Information 06/01/2018
FA-075 Verification of School Attendance 05/01/2018
PAF-001-A Family Assistance Programs - What You Need to Know (English/Spanish) 04/01/2018
PAF-001-B-S Programas de Asistencia, Lo Que Usted Necesite Saber 04/01/2018
PAF-001-B Assistance Programs, What You Need To Know 04/01/2018
FAA-1353A Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance 03/01/2018

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