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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CCA-0221A | Family Child Care Provider Statement of Services | 05/01/2023 |
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CCA-0221A-S | Declaración de Servicios del Proveedor de Cuidado en Casa de Familia | 05/01/2023 |
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CCA-0223A | Non-Certified Relative Provider (NCRP) Requirements (English/Spanish) | 09/01/2022 |
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CCA-0224A | Tribal CPS Child Care Referral / To: Child Care Administration (English) | 03/01/2024 |
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CCA-0225A | Verification of Unable\Unavailable Status (English) | 03/01/2024 |
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CCA-0626A | Non-Certified Relative Child Care Provider | 10/01/2020 |
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CCA-0626A-S | Parientes como Proveedores No Certificados de Cuidado de Niños | 10/01/2020 |
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CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
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CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
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CCA-1101A | Child Care Providers in Arizona | 09/01/2022 |
Download | Number | Name | Effective Date |
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CCA-1114A | Contractor Eligibility Verification | 04/01/2017 |
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CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
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CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
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CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers (English) | 05/01/2018 |
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CCA-1141A-S | Direct Deposit Enrollment - DES Certified Homes/Relative Providers (Spanish) | 05/01/2018 |
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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
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CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
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CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
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CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
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CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
30th Month Aug-2015 | 30th Month Report August Fiscal Year 2015 | 10/27/2014 |
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30th Month Aug-2016 | 30th Month Report August Fiscal Year 2017 | 10/27/2016 |
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30th Month Aug-2016 | 30th Month Report August Fiscal Year 2016 | 10/14/2015 |
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30th Month Aug-2017 | 30th Month Financial Report FY-2018 through Aug-2017 | 11/07/2017 |
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30th Month Aug-2018 | 30th Month Financial Report FY-2019 through Aug-2018 | 12/12/2018 |
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30th Month August 2019 | 30th Month Financial Report FY 2019 through August 2019 | 11/05/2019 |
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30th Month August 2020 | 30th Month Financial Report FY 2021 through August 2020 | 10/08/2020 |
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30th Month August 2021 | 30th Month Financial Report FY 2022 through August 2021 | 10/27/2021 |
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30th Month August 2023 | 30th Month Financial Report FY 2024 through August 2023 | 10/03/2023 |
|
30th Month Dec 2017 | 30th Month Financial Report FY-2018 through Dec-2017 | 02/28/2018 |
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