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-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
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FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
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FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
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FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
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FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
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FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
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FAA-1439A-LP | Self-Employment Income Statement - Large Print (English) | 06/01/2023 |
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FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
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FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
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FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
Download | Number | Name | Effective Date |
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FAA-1493A-SXLP | Authorized Representative Request - Extra Large Print (Spanish) | 06/01/2023 |
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FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
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FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
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FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
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FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
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FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
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FAA-0412A-LP | Change Report - Large Print (English) | 05/01/2023 |
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FAA-0620A | Treatment Center Change Report | 05/01/2023 |
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FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
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FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
Download | Number | Name | Effective Date |
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LIHWAP FY23 | Low Income Household Water Assistance Program (LIHWAP) Plan | 05/12/2023 |
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SSBG Plan 2023-2024 | Draft SSBG Plan 2023-2024 | 05/08/2023 |
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30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
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Statistical Bulletin March 2023 | Statistical Bulletin March 2023 | 04/21/2023 |
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LIHEAP Plan FY23 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/19/2023 |
test-0004 | test report | 04/01/2023 | |
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30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
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SCSEP State Plan 2020-2023 | Senior Community Service Employment Program (SCSEP) State Plan 2020-2023 | 03/15/2023 |
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Statistical Bulletin February 2023 | Statistical Bulletin February 2023 | 03/10/2023 |
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30th Month January 2023 | 30th Month Financial Report FY 2023 through January 2023 | 03/06/2023 |
Download | Number | Name | Effective Date |
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VR-9.2 | 9.2 Treatments: Cochlear/BAHA | 03/31/2021 |
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VR-7.4 | 7.4 Procurement of Services and Exceptions | 03/31/2021 |
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VR-15.3 | 15.3 Mediation | 03/31/2021 |
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VR-2.5 | 2.5 Signature and Signature Date Requirements | 03/31/2021 |
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VR-7.5 | 7.5 Policy Exceptions to Allowable Services | 03/31/2021 |
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VR-9.4 | 9.4 Treatments: Occupational, Physical and Speech | 03/31/2021 |
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VR-12.3 | 12.3 Reader Services | 03/31/2021 |
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VR-15.4 | 15.4 Fair Hearing | 03/31/2021 |
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VR-15.5 | 15.5 Director Review of Fair Hearing Decisions | 03/31/2021 |
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VR-2.6 | 2.6 Duty to Report Abuse of a Minor | 03/31/2021 |
Download | Number | Name | Effective Date |
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FAA-1812A-S | FAA Virtual Services Flyer (Spanish) | 05/01/2024 |
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FAA-1853A-S | Nutrition Assistance Programs for Eligible Participants - Black/White (Spanish) | 05/01/2024 |
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DDD-2285A | Services While Traveling Out of State (English) | 05/01/2024 |
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GCI-1157C | Instructions for Completing the Record Review Report/Prior Written Notice (English) | 05/01/2024 |
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DDD-2285A-S | Services While Traveling Out of State (Spanish) | 05/01/2024 |
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DES-1139A | Services Provided by DES (English) | 05/01/2024 |
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DDD-2286A | How to Apply for An Arizona State Identification (ID) Card (English) | 05/01/2024 |
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CBC-1000A-S | Arizona Centralized Background Checks (CBC) - Individual User Guide (Spanish) | 05/01/2024 |
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FAA-1045A-LP | How to Use Your Arizona EBT Card - Large Print (English) | 05/01/2024 |
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DDD-2286A-S | How to Apply for An Arizona State Identification (ID) Card (Spanish) | 05/01/2024 |
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