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Download Number Form Name Effective Date
GCI-1041A-S Consentimiento para el Uso del Seguro de Salud 09/01/2019
GCI-1041A Consent to Bill Health Insurance 09/01/2019
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
GCI-1039A Consent to Obtain Information 08/01/2011
GCI-1037A-S Agencia de Educación Pública (PEA por sus siglas en inglés) Notificación o Recomendación 01/01/2019
GCI-1037A Public Education Agency (PEA) Notification/Referral 01/01/2019
GCI-1034A Records Released Log 08/01/2011
GCI-1033AS Resumen de la Conferencia de Transición 07/01/2012

Download Number Form Name Effective Date
Statistical Bulletin September 2016 Statistical Bulletin September 2016 10/19/2016
Statistical Bulletin September 2015 Statistical Bulletin September 2015 10/14/2015
Statistical Bulletin September 2014 Statistical Bulletin September 2014 10/16/2014
Statistical Bulletin September 2013 Statistical Bulletin September 2013 10/15/2013
Statistical Bulletin September 2012 Statistical Bulletin September 2012 10/30/2012
Statistical Bulletin September 2011 Statistical Bulletin September 2011 10/14/2011
Statistical Bulletin Sep 2010 Statistical Bulletin Sep 2010 10/01/2010
Statistical Bulletin Sep 2009 Statistical Bulletin September 2009 09/01/2009
Statistical Bulletin Sep 2008 Statistical Bulletin September 2008 09/01/2008
Statistical Bulletin Sep 07 Statistical Bulletin Sep 2007 09/30/2007

No results available.

Download Number Form Name Effective Date
RSA-LP6106 Rehabilitation Adjustment & Employment Services Brochure 10/19/2010
RSA-LP3732 Transition Brochure (Large Print) 04/21/2015
RSA-LP10131 Understanding Order of Selection (Large Print) 06/07/2015
RSA-1385A BEP Guide for New VR Clients 09/01/2019
RSA-1322A-S Pre-Employment Transition Services - No cost service to help youth prepare for success 05/01/2018
RSA-1322A Pre-Employment Transition Services - No cost service to help youth prepare for success 05/01/2018
RSA-1213A-S Beneficios por discapacidad en Arizona 101 05/01/2019
RSA-1213A-LPS Beneficios por discapacidad en Arizona 101 (Letra Grande) 07/01/2019
RSA-1213A-LP Disability Benefits 101 (Large Print) 07/01/2019
RSA-1213A Disability Benefits 101 05/01/2019


Download Number
 		Form Name Effective Date
GCI-1085A Vision Screening Checklist 07/01/2012
GCI-1084AS Formulario de Seguimiento de la Revisión Auditiva 07/01/2012
GCI-1084A Hearing Screening Tracking 07/01/2012
GCI-1083AS Consentimiento para la Evaluación del Niño 07/01/2012
GCI-1083A Consent for Child Assessment 07/01/2012
GCI-1082AS Consentimiento para Evaluación - Notificación Previa por Escrito 07/01/2012
GCI-1082A Consent for Screening - Prior Written Notice 07/01/2012
GCI-1081A-S La Importancia de la Historia Familiar 01/01/2013
GCI-1081A Interagency Coordinating Council for Infants and Toddlers (Consejo de Coordinación Interinstitucional para Bebés y Niños Pequeños) 06/01/2019
GCI-1077A-S Solicitud de Reclamo 01/01/2019

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