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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-260-FF Claim of Sexual Assault 07/01/2017
FA-260-FFS Reclamo de Asalto Sexual 07/01/2017
FA-191-FF Employability Data 07/01/2017

Download Number Form Name Effective Date
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
Statistical Bulletin December 2017 Statistical Bulletin December 2017 01/31/2018
30th Month Nov 2017 30th Month Financial Report FY-2018 through Nov-2017 01/30/2018
Tribal Consultation Report 2017 Tribal Consultation Report 2017 01/18/2018
30th Month Oct 2017 30th Month Financial Report FY-2018 through Oct-2017 01/03/2018

No results available.

Download Number Form Name Effective Date
UIT-1191A Bulk UI Tax Rate Request Process and Information 04/01/2019
CSE-1276A DCSS Hardship Program 04/01/2019
WIO-1121A Connecting Business with Job Seekers - Services for Employers 04/01/2019
FAA-1513A Time Saving Tips 04/01/2019
WIO-1112A Arizona Reentry Program 04/01/2019
CCA-1253A Choosing Quality Child Care (English/Spanish) 04/01/2019
AAA-1316A SNAP-O Partnership 04/01/2019
WIO-1114A Second Chance Centers 03/01/2019
GCI-1093A What to Expect from Team Based Early Intervention 03/01/2019
UIT-1190A UI Tax Online Reporting 03/01/2019


Download Number Form Name Effective Date
FAA-1004A Designation of EBT Alternate Card Holder 07/01/2018
FAA-1533A Verification of Unfitness for Work for Adults 07/01/2018
FAA-1004A-S Designación de Titular Sustituto para la Tarjeta de EBT 07/01/2018
FA-059 Authority to Release Information 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 Assistance Programs, What You Need To Know 04/01/2018
PAF-001-B-S Programas de Asistencia, Lo Que Usted Necesite Saber 04/01/2018
FAA-1353A Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance 03/01/2018

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