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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CC-214-A | Relative Child Care Provider Rate Agreement | 11/01/2022 |
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CC-214-A-S | Acuerdo de Tarifa para Parientes Proveedores de Cuidado de Niños | 11/01/2022 |
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CC-214 | Child Care Provider Rate Agreement | 11/01/2022 |
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CC-214-S | Acuerdo de Tarifas del Proveedor de Cuidado de Niños | 11/01/2022 |
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CCA-1200A-S | About Me Questionnaire (Spanish) | 11/01/2022 |
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CCA-1200A | About Me Questionnaire (English) | 11/01/2022 |
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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-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
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CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
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CCA-0041A | Fair Hearing Request | 11/01/2021 |
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CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
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DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
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CCA-1212A | Direct Service Position (Certification Form) | 07/01/2021 |
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CCA-1212A-S | Puesto de Servicio Directo (Formulario de certificación) | 07/01/2021 |
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CCA-1276A-S | Action Plan (Spanish) | 06/01/2021 |
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CCA-1276A | Action Plan (English) | 06/01/2021 |
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CCA-1287A-S | Registro de Simulacros de Evacuación de Emergencia | 05/01/2021 |
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CCA-1211B | Attachment to Request for Search of Background Checks (CCA-1211A) Disqualifying Acts (English) | 04/01/2021 |
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CCA-1211B-S | Attachment to Request for Search of Background Checks (CCA-1211A-S) Disqualifying Acts (Spanish) | 04/01/2021 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA Applications & Denials Report | Child Care Assistance Applications and Denials Report | 07/07/2023 |
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30th Month May 2023 | 30th Month Financial Report FY 2023 through May 2023 | 06/28/2023 |
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Statistical Bulletin May 2023 | Statistical Bulletin May 2023 | 06/22/2023 |
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30th Month April 2023 | 30th Month Financial Report FY 2023 through April 2023 | 06/01/2023 |
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Statistical Bulletin April 2023 | Statistical Bulletin April 2023 | 05/17/2023 |
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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 |
|
LIHEAP Plan FY23 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/19/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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VR-15.4 | 15.4 Fair Hearing | 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-15.5 | 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 |
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VR-12.4 | 12.4 Interpreting Services | 03/31/2021 |
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VR-16.1 | 16.1 Service Provider Requirements | 03/31/2021 |
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VR-2.7 | 2.7 Voter Registration | 03/31/2021 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2286A-S | How to Apply for An Arizona State Identification (ID) Card (Spanish) | 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-SXLP | How to Use Your Arizona EBT Card - Extra Large Print (Spanish) | 05/01/2024 |
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AzEIP-TAB-04042024 | AzEIP Cover Sheet for DDD Application for Eligibility Determination Technical Assistance Bulletin | 04/04/2024 |
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WIO-1194A-S | WFTC Year in Review (Spanish) | 04/01/2024 |
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CBC-1001A | CBC Quick Setup - Individual (English) | 04/01/2024 |
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CBC-1003A | CBC Quick Setup Guide Employer and Agency (English) | 04/01/2024 |
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CCA-0519A-S | Child Care Programs (Spanish) | 04/01/2024 |
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CCA-1324A | Become A Child Care Provider (English) | 04/01/2024 |
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CCA-1324A-S | Become A Child Care Provider (Spanish) | 04/01/2024 |
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