Office Closure
NOTIFICATION OF IMMEDIATE OFFICE CLOSURE: The DES Office located at 11526 W. Bell Road in Surprise will be closed from September 20 until September 30, 2019. Clients who frequent this office are asked to visit DES offices located at:
Peoria
8990 W Peoria Avenue, Peoria 85345
Glendale
6010 N 57th Drive, Glendale 85301
We appreciate your patience and understanding as we mitigate this issue.
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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 | Form Name | Effective Date |
|---|---|---|---|
|
GCI-1037A-S | Agencia de Educación Pública (PEA por sus siglas en inglés) Notificación o Recomendación | 01/01/2019 |
|
GCI-1020A | Authorization to Disclose Protected Health Information | 08/01/2011 |
|
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 08/01/2011 |
|
GCI-1074A | AzEIP AHCCCS Member Service Request | 01/01/2014 |
|
GCI-1098A | AzEIP Public Awareness Materials Order Form | 06/01/2019 |
|
GCI-1112A | AzEIP Transfer File Checklist | 03/01/2019 |
|
GCI-1103A | AZEIP Waiver Request | 11/01/2015 |
|
GCI-1088A | Child and Family Assessment Guide for Families | 04/01/2016 |
|
GCI-1088B | Child and Family Assessment Guide for Families (Accessible) | 04/01/2016 |
|
GCI-1021C | Child Indicators Summary | 03/01/2019 |
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