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 | 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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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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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 |
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CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
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CCA-1021A | Unpaid Co-payment Worksheet | 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-1234A | Family Child Care Home Backup Provider Backup, Discipline, and Transportation Agreement | 04/01/2021 |
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CCA-1234A-S | Proveedor Suplente de Cuidado de Niños en el Hogar Acuerdo de Suplente, Disciplina y Transporte | 04/01/2021 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
Five Year Strategic Plan SFY 2024 - 2028 | Five Year Strategic Plan SFY 2024 - 2028 | 08/31/2023 |
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Statistical Bulletin July 2023 | Statistical Bulletin July 2023 | 08/16/2023 |
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Statistical Bulletin June 2023 | Statistical Bulletin June 2023 | 07/25/2023 |
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GCBVI 2022 | Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2022 | 07/20/2023 |
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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 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
VR-15.3 | 15.3 Mediation | 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-2.5 | 2.5 Signature and Signature Date Requirements | 03/31/2021 |
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VR-12.4 | 12.4 Interpreting 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-9.6 | 9.6 Treatments: Dental | 03/31/2021 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1853A | Nutrition Assistance Programs for Eligible Participants - Black/White (English) | 05/01/2024 |
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WIO-1250A-S | Referral to SNAP CAN (Spanish) | 05/01/2024 |
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DDD-2292A | Decision-Making for Adults (English) | 05/01/2024 |
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FAA-1853A-S | Nutrition Assistance Programs for Eligible Participants - Color (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-2292A-S | Decision-Making for Adults (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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FAA-1045A-XLP | How to Use Your Arizona EBT Card - Extra Large Print (English) | 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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