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Download Number Form Name Effective Date
GCI-1039A Consent to Obtain Information 08/01/2011
GCI-1039AS Consent to Obtain Information (Spanish) 08/01/2011
GCI-1046A Referral Letter 08/01/2011
GCI-1049A No Contact Letter 08/01/2011
GCI-1046AS Referral Letter (Spanish) 08/01/2011
GCI-1049AS No Contact Letter (Spanish) 08/01/2011
GCI-1059A Unable to Process Letter 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
GCI-1040A Consent to Share Early Intervention Records and Information 08/01/2011

Download Number Form Name Effective Date
Statistical Bulletin September 2018 Statistical Bulletin September 2018 11/05/2018
6AAC17 Five-Year Review Report - General Assistance Program 10/31/2018
CCDF Plan FFY 2019-2021 CCDF State Plan FY2019-FY2021 10/30/2018
Statistical Bulletin August 2018 Statistical Bulletin August 2018 09/28/2018
Budget-FY2020 DES Budget Summary FY 2020 09/07/2018
30th Month June-2018 30th Month Financial Report FY-2018 through Jun-2018 09/05/2018
WIO-1082A WIOA Title I Program Year 16 Annual Report 08/29/2018
Statistical Bulletin July 2018 Statistical Bulletin July 2018 08/15/2018
APS SFY 2018 Statistics Adult Protective Services SFY 2018 Activity Summary/Statistics by County 08/02/2018
Statistical Bulletin June 2018 Statistical Bulletin June 2018 07/25/2018

No results available.

Download Number Form Name Effective Date
FAA-0032A Information Needed to Complete Your Case (English/Spanish) 07/01/2019
WIO-1086A-S Conectando a las Personas con los Trabajos 07/01/2019
DDD-1694A-S Colocación fuera del hogar para menores 07/01/2019
CSE-1246A Child Support Services Overview 07/01/2019
FAA-0032A-XLP Information Needed to Complete Your Case (English/Spanish - Extra Large Print) 07/01/2019
CSE-1246A-S Visión General del Programa de Servicios de Sustento para Menores 07/01/2019
RSA-1213A-LP Disability Benefits 101 (Large Print) 07/01/2019
RSA-1213A-LPS Beneficios por discapacidad en Arizona 101 (Letra Grande) 07/01/2019
DDD-1954A DDD Engagement 07/01/2019
CSE-1251A Fact Sheet for Minor Parents (English/Spanish) 07/01/2019


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-1042AS Family Survey (Spanish) 02/01/2015
GCI-1042A Family Survey 02/01/2015

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