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Download Number Form Name Effective Date
GCI-1059A Unable to Process Letter 08/01/2011
GCI-1059AS Unable to Process Letter (Spanish) 08/01/2011
GCI-1039A Consent to Obtain Information 08/01/2011
GCI-1039AS Consent to Obtain Information (Spanish) 08/01/2011
GCI-1049A No Contact Letter 08/01/2011
GCI-1049AS No Contact Letter (Spanish) 08/01/2011
GCI-1046A Referral Letter 08/01/2011
GCI-1046AS Referral Letter (Spanish) 08/01/2011
GCI-1020A Authorization to Disclose Protected Health Information 08/01/2011
GCI-1020AS Authorization to Disclose Protected Health Information (Spanish) 08/01/2011

Download Number Form Name Effective Date
6AAC4 Five-Year-Review Report - Rehabilitation Services 06/30/2018
6AAC1 Five-Year Review Report - Department of Economic Security 06/30/2018
Statistical Bulletin May 2018 Statistical Bulletin May 2018 06/13/2018
30th Month Apr-2018 30th Month Financial Report FY-2018 through Apr-2018 06/06/2018
Aging Plan 2019-2022 Arizona State Plan on Aging 2019-2022 06/01/2018
Statistical Bulletin April 2018 Statistical Bulletin April 2018 05/17/2018
Annual Report 2016-2017 2016-2017 DES Annual Report 05/16/2018
Public Report of AzEIP 2016 Public Report of Early Intervention Services Programs, 2016 05/14/2018
30th Month Mar-2018 30th Month Financial Report FY-2018 through Mar-2018 05/04/2018
Statistical Bulletin March 2018 Statistical Bulletin March 2018 04/17/2018

No results available.

Download Number Form Name Effective Date
WIO-1114A Second Chance Centers 03/01/2019
PAU-007 A Guide to Arizona UI Benefits 03/01/2019
PAU-007-S Una Guía a los Beneficios del Seguro por Desempleo en Arizona 03/01/2019
UIT-1190A UI Tax Online Reporting 03/01/2019
GCI-1093A What to Expect from Team Based Early Intervention 03/01/2019
FAA-1700A SAW Contact Card 02/01/2019
ESA-1322A-S El Programa Militar de Hilton HHonors 02/01/2019
ESA-1322A The Hilton Honors Military Program 02/01/2019
Arizona County Demographics Handbook 2018 Arizona County Demographics Handbook 2018 01/09/2019
Arizona Legislative District Demographics Handbook 2018 Arizona Legislative District Demographics Handbook 2018 01/09/2019


Download Number Form Name Effective Date
GCI-1088BS Guía de Evaluación para los Niños y sus Familias (Accessible) 04/01/2016
GCI-1088B Child and Family Assessment Guide for Families (Accessible) 04/01/2016
GCI-1103A AZEIP Waiver Request 11/01/2015
Public Report of AzEIP 2013 Public Report of Early Intervention Services Programs, 2013 04/15/2015
State Performance Plan FFY 2013 AzEIP Annual Performance, 2013 04/15/2015
GCI-1086A A Family's Guide to Funding Early Intervention Services in Arizona 04/01/2015
IDEA Part C Child Count FFY 2014 AzEIP Child Count and Settings Data 2014-2015 04/01/2015
State Performance Plan FFY 2015 AzEIP State Systemic Improvement Plan 04/01/2015
GCI-1042A Family Survey 02/01/2015
GCI-1042AS Family Survey (Spanish) 02/01/2015

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