UPDATE: PUA claimants who were not able to certify for eligible weeks prior to April 19 are now able to file for eligible weeks back to their last date of employment (but no earlier than February 2). Individuals must file weekly PUA certifications for each week for which they are claiming eligibility for benefits, including retroactive certifications back to their last date of employment. Individuals who have already received the initial phase of payment will not see the option to certify for the three weeks for which they have already been paid. File weekly certifications at https://pua.azdes.gov.
UPDATE: Pandemic Emergency Unemployment Compensation (PEUC), which provides an extension of unemployment benefits, will be available in Arizona June 6.
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| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
GCI-1041A | Consent to Bill Health Insurance | 09/01/2019 |
|
GCI-1051A | Follow-Up Letter | 07/01/2019 |
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GCI-1051A-S | Follow-Up Letter (Spanish) | 07/01/2019 |
|
GCI-1094A | Primary Caregiver Visit Log | 07/01/2019 |
|
GCI-1040A | Consent to Share Early Intervention Records and Information | 07/01/2019 |
|
GCI-1049A | No Contact Letter | 07/01/2019 |
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GCI-1098A | AzEIP Public Awareness Materials Order Form | 06/01/2019 |
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GCI-1021A | Individualized Family Service Plan - Packet | 03/01/2019 |
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GCI-1021C | Child Indicators Summary | 03/01/2019 |
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GCI-1021C-S | Resumen de los Indicadores del Niño/a | 03/01/2019 |
| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
Statistical Bulletin November 2019 | Statistical Bulletin November 2019 | 12/16/2019 |
|
AZ State Plan - TEFAP 2019-2020 | Arizona State Plan- The Emergency Food Assistance Program (TEFAP) 2019-2020 | 12/06/2019 |
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TANF Report October 2017 | TANF State Plan Effective October 1, 2017 | 12/05/2019 |
|
6AAC7 | Five-Year Review Report - Divison of Child Support Services | 12/03/2019 |
|
Statistical Bulletin October 2019 | Statistical Bulletin October 2019 | 12/02/2019 |
|
30th Month August 2019 | 30th Month Financial Report FY 2019 through August 2019 | 11/05/2019 |
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30th Month September 2019 | 30th Month Financial Report FY 2019 through September 2019 | 11/05/2019 |
|
Statistical Bulletin September 2019 | Statistical Bulletin September 2019 | 10/30/2019 |
|
Statistical Bulletin April 2018 | Statistical Bulletin April 2018 | 10/15/2019 |
|
GCBVI 2019 | Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2019 | 10/03/2019 |
| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
LCR-1036A-S | Inspecciones de Seguridad en la Vida Cotidiana | 02/01/2020 |
|
RSA-1242A | Vocational Rehabilitation Transition | 02/01/2020 |
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RSA-1242A-S | Transición con la Rehabilitación Vocacional | 02/01/2020 |
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RSA-1242A-LP | Vocational Rehabilitation Transition (Large Print) | 02/01/2020 |
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RSA-1242A-SLP | Transición con la Rehabilitación Vocacional (Letra Grande) | 02/01/2020 |
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CSE-1246B | Child Support Services Program Overview (Bilingual) | 02/01/2020 |
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AAA-1289A | Family Caregiver Support Program | 02/01/2020 |
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RSA-1134A | What Is Voc Rehabilitation? | 02/01/2020 |
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AAA-1341A | Local Medicare Help | 01/01/2020 |
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FAA-0032A | Information Needed to Complete Your Case (English/Spanish) | 01/01/2020 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
GCI-1115A-S | Confirmación del Folleto acerca de los Derechos del Menor y la Familia | 02/01/2020 |
|
GCI-1113A | Child Transfer Form | 10/01/2019 |
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GCI-1041A | Consent to Bill Health Insurance | 09/01/2019 |
|
DES-1139A | Services Provided by DES | 09/01/2019 |
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GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 09/01/2019 |
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DES-1139A-S | Servicios y Programas del DES | 09/01/2019 |
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GCI-1051A | Follow-Up Letter | 07/01/2019 |
|
GCI-1051A-S | Follow-Up Letter (Spanish) | 07/01/2019 |
|
GCI-1094A | Primary Caregiver Visit Log | 07/01/2019 |
|
GCI-1040A | Consent to Share Early Intervention Records and Information | 07/01/2019 |
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