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Download Number Form Name Effective Date
GCI-1040A Consent to Share Early Intervention Records and Information 08/01/2011
GCI-1040AS Consent to Share Early Intervention Records and Information (Spanish) 08/01/2011
GCI-1097A AzEIP Quarterly Progress Report 10/01/2010

Download Number Form Name Effective Date
30th Month May-2018 30th Month Financial Report FY-2018 through May-2018 07/06/2018
SSBG Plan 2018-2019 Social Services Block Grant Plan 2018-2019 07/01/2018
CCA Market Rate Survey 18 Child Care Market Rate Survey 2018 07/01/2018
6AAC11 Five-Year-Review Report - The Job Training Partnership Act 06/30/2018
6AAC4 Five-Year-Review Report - Rehabilitation Services 06/30/2018
6AAC1 Five-Year Review Report - Department of Economic Security 06/30/2018
Statistical Bulletin May 2018 Statistical Bulletin May 2018 06/13/2018
30th Month Apr-2018 30th Month Financial Report FY-2018 through Apr-2018 06/06/2018
Aging Plan 2019-2022 Arizona State Plan on Aging 2019-2022 06/01/2018
Annual Report 2016-2017 2016-2017 DES Annual Report 05/16/2018

No results available.

Download Number Form Name Effective Date
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
CSE-1251A Fact Sheet for Minor Parents (English/Spanish) 07/01/2019
DDD-1954A DDD Engagement 07/01/2019
UIB-1240A A Guide to Arizona UI Benefits 07/01/2019


Download Number Form Name Effective Date
GCI-1096A Individual Family Teaming Report 09/01/2014
GCI-1095A Joint Visit Planning Tool 04/01/2014
IDEA Part C Child Count FFY 2013 Resubmission Child Count and Settings 04/01/2014
IDEA Part C Dispute Resolution FFY 2013 Dispute Resolution 2012-13 02/01/2014
GCI-1074A AzEIP AHCCCS Member Service Request 01/01/2014
IDEA Part C Exiting FFY 2013 Exiting 2012-13 11/06/2013
State Performance Plan FFY 2012 FFY 2012 AzEIP Annual Performance Report 09/30/2013
State Performance Plan, FFY 2005-2013 AzEIP State Performance Plan, 2005-2013 09/30/2013
Application for Federal Funds FFY 2013 Arizona's Part C FFY 2013 Application for Federal Funds 08/15/2013
GCI-1070A Child and Family Rights in the Arizona Early Intervention Program 07/01/2013

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