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Download | Number | Form Name | Effective Date |
---|---|---|---|
|
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 08/01/2011 |
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GCI-1020A | Authorization to Disclose Protected Health Information | 08/01/2011 |
|
GCI-1037A-S | Agencia de Educación Pública (PEA por sus siglas en inglés) Notificación o Recomendación | 01/01/2019 |
Download | Number | Form Name | Effective Date |
---|---|---|---|
|
Statistical Bulletin Oct 06 | Statistical Bulletin Oct 2006 | 10/30/2006 |
|
Statistical Bulletin November 2018 | Statistical Bulletin November 2018 | 12/17/2018 |
|
Statistical Bulletin November 2017 | Statistical Bulletin November 2017 | 12/14/2017 |
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Statistical Bulletin November 2016 | Statistical Bulletin November 2016 | 12/29/2016 |
|
Statistical Bulletin November 2015 | Statistical Bulletin November 2015 | 12/15/2015 |
|
Statistical Bulletin November 2014 | Statistical Bulletin November 2014 | 12/15/2014 |
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Statistical Bulletin November 2013 | Statistical Bulletin November 2013 | 12/13/2013 |
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Statistical Bulletin November 2012 | Statistical Bulletin November 2012 | 12/28/2012 |
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Statistical Bulletin November 2011 | Statistical Bulletin November 2011 | 12/13/2011 |
|
Statistical Bulletin Nov 2009 | Statistical Bulletin November 2009 | 11/01/2009 |
Download | Number | Form Name | Effective Date |
---|---|---|---|
|
WIO-1131F | SNAP CAN Desert Poster 6 | 11/01/2019 |
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WIO-1131E | SNAP CAN Desert Poster 5 | 11/01/2019 |
|
WIO-1131D | SNAP CAN Desert Poster 4 | 11/01/2019 |
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WIO-1131C | SNAP CAN Desert Poster 3 | 11/01/2019 |
|
WIO-1131B | SNAP CAN Desert Poster 2 | 11/01/2019 |
|
WIO-1131A | SNAP CAN Desert Poster 1 | 11/01/2019 |
|
PAD-465-S | Sistema de Cuidado a Largo Plazo de Arizona (ALTCS) | 10/01/2018 |
|
SWP-1000A | Shared Work Program Employer Handbook | 03/01/2018 |
|
UIA-1030A | Shared Work Information for Employers | 08/01/2016 |
|
PAU-210 | Shared Work Information for Employees | 03/01/2017 |
Download | Number |
Form Name |
Effective Date |
---|---|---|---|
|
GCI-1043A-S | Developmental Evaluation Report (Spanish Accessible) | 06/01/2016 |
|
GCI-1043A | Developmental Evaluation Report (Accessible) | 06/01/2016 |
|
GCI-1070A-S | Derechos del Menor y la Familia bajo en Programa de Intervención Temprana de Arizona (AzEIP) | 07/01/2013 |
|
GCI-1083AS | Consentimiento para la Evaluación del Niño | 07/01/2012 |
|
GCI-1082AS | Consentimiento para Evaluación - Notificación Previa por Escrito | 07/01/2012 |
|
GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 09/01/2019 |
|
GCI-1109A | Consent to Share Early Intervention Referral and Initial IFSP Date | 06/01/2018 |
|
GCI-1040AS | Consent to Share Early Intervention Records and Information (Spanish) | 08/01/2011 |
|
GCI-1040A | Consent to Share Early Intervention Records and Information | 08/01/2011 |
|
GCI-1039AS | Consent to Obtain Information (Spanish) | 08/01/2011 |
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