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Reports, Forms, Pamphlets and Policies
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 |
|---|---|---|---|
|
CCA-1312A-S | Acuerdo del Proveedor/Padre/Madre/Tutor Acerca de los Costos de Cuidado de Niños No Cubiertos por el DES | 03/01/2023 |
|
CCA-1216A | Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES | 02/01/2023 |
|
ACF-218 QPR FFY2022 | Arizona CCDBG Quality Progress Report - FY 2022 | 12/29/2022 |
|
CCA-0004A | Accident, Illness or Injury Report (Eng/Span) | 12/01/2022 |
|
CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
|
CCA-0036A | Permission to Give Medication | 12/01/2022 |
|
CCA-0036A-S | Permiso para Administrar Medicamentos | 12/01/2022 |
|
CCA-0039A | Medical Statement | 12/01/2022 |
|
CCA-0039A-S | Certificación Médica | 12/01/2022 |
|
CC-214-A | Relative Child Care Provider Rate Agreement | 11/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CC-214-A-S | Acuerdo de Tarifa para Parientes Proveedores de Cuidado de Niños | 11/01/2022 |
|
CCA-1200A-S | Encuesta sobre mí | 11/01/2022 |
|
CCA-1200A | About Me Questionnaire | 11/01/2022 |
|
CC-214 | Child Care Provider Rate Agreement | 11/01/2022 |
|
CC-214-S | Acuerdo de Tarifas del Proveedor de Cuidado de Niños | 11/01/2022 |
|
CC-214-A | Relative Child Care Provider Rate Agreement | 11/01/2022 |
|
CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
|
CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
|
CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
|
CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
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