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Download Number Form Name Effective Date
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-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-1040AS Consent to Share Early Intervention Records and Information (Spanish) 08/01/2011
GCI-1034A Records Released Log 08/01/2011
GCI-1020A Authorization to Disclose Protected Health Information 08/01/2011

Download Number Form Name Effective Date
Five Year Strategic Plan SFY 2019 - 2023 Five Year Strategic Plan SFY 2019 - 2023 01/01/2019
Annual Report 2017-2018 2017-2018 DES Annual Report 12/31/2018
30th Month Oct 2018 30th Month Financial Report FY-2019 through Oct-2018 12/17/2018
Statistical Bulletin November 2018 Statistical Bulletin November 2018 12/17/2018
30th Month Aug-2018 30th Month Financial Report FY-2019 through Aug-2018 12/12/2018
30th Month Sep-2018 30th Month Financial Report FY-2019 through Sep-2018 12/10/2018
Statistical Bulletin October 2018 Statistical Bulletin October 2018 11/27/2018
GCBVI 2018 Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2018 11/21/2018
DES Welfare-2018 Annual Welfare Reform Report 2018 11/16/2018
DES Welfare-2017 Annual Welfare Reform Report 2017 11/16/2018

No results available.

Download Number Form Name Effective Date
ESA-1060A Workforce Services (Yuma County) 11/01/2019
DDD-1551A-Flyer Medallion Program - Flyer 10/01/2019
WIO-1127B Probation Officer Referral 10/01/2019
DDD-1759A DDD Eligibility Redetermination 10/01/2019
DDD-1759A-S Redeterminación de Elegibilidad de la DDD 10/01/2019
CCA-1251A Start or Grow you Child Care Business 10/01/2019
DDD-0465A-S Sistema de Atención a Largo Plazo de Arizona (ALTCS) Manual para miembros 2019-2020 10/01/2019
CSE-1043A What Every Parent Should Know About Establishing Paternity 10/01/2019
CSE-1043A-S ​Lo Que Todos Los Padres Deben Saber Sobre el Establecimiento de la Paternidad 10/01/2019
DDD-0640A How DDD Eligibility is Determined 10/01/2019


Download Number Form Name Effective Date
GCI-1088B Child and Family Assessment Guide for Families (Accessible) 04/01/2016
GCI-1088A Child and Family Assessment Guide for Families 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
State Performance Plan FFY 2015 AzEIP State Systemic Improvement Plan 04/01/2015
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
GCI-1042A Family Survey 02/01/2015
GCI-1042AS Family Survey (Spanish) 02/01/2015

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