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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
CCA-1210B Child Care Provider Registration Agreement 04/01/2016
CCA-1207A-S Aviso Sobre Derechos de Monitorización - Verificación de Divulgación 06/01/2022
CCA-1207A Notice of Monitoring Rights - Disclosure Verification 06/01/2022
CCA-1200A-S Encuesta sobre mí 11/01/2022
CCA-1200A About Me Questionnaire 11/01/2022
CCA-1199A-S Guía de Preparación en Caso de Emergencias y Planificación de Respuesta 04/01/2022
CCA-1199A Emergency Preparedness & Response Planning 04/01/2022
CCA-1198AS Acknowledgement of Receipt and Understanding (Spanish) 03/01/2016
CCA-1198A Acknowledgement of Receipt and Understanding 02/01/2016
CCA-1197A Emergency Disaster Plan 02/01/2016

Download Number Name Effective Date
CCA-1163A Affidavit of Immunization Exemption - For Household Members Age 13 and Younger 09/01/2011
CCA-1141A-S Inscripción con Depósito Directo para Proveedores o Parientes Autorizados Por el DES 05/01/2018
CCA-1141A Direct Deposit Enrollment - DES Certified Homes/Relative Providers 05/01/2018
CCA-1140A-S Inscripción de Depósito Directo para Centros y Hogares Comunitarios 09/01/2022
CCA-1140A Direct Deposit Enrollment - Centers and Group Homes 09/01/2022
CCA-1114A Contractor Eligibility Verification 04/01/2017
CCA-1095AS State of AZ Substitute W-9 form-Request for Taxpayer Identification and Certification (Spanish) 04/01/2004
CCA-1095A State of AZ Substitute W-9 form-Request for Taxpayer Identification and Certification 04/01/2004
CCA-1021A-S Informe de Copagos Atrasados 10/01/2022
CCA-1021A Unpaid Co-payment Worksheet 10/01/2022

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