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Download Number Form Name Effective Date
GCI-1097A AzEIP Quarterly Progress Report 10/01/2010
GCI-1098A AzEIP Public Awareness Materials Order Form 06/01/2019
GCI-1074A AzEIP AHCCCS Member Service Request 01/01/2014
GCI-1020AS Authorization to Disclose Protected Health Information (Spanish) 08/01/2011
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
GCI-1115A Acknowledgement of Child and Family Rights 02/01/2020

Download Number Form Name Effective Date
Statistical Bulletin Oct 06 Statistical Bulletin Oct 2006 10/30/2006
Statistical Bulletin November 2019 Statistical Bulletin November 2019 12/16/2019
Statistical Bulletin November 2018 Statistical Bulletin November 2018 12/17/2018
Statistical Bulletin November 2017 Statistical Bulletin November 2017 12/14/2017
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
Statistical Bulletin November 2013 Statistical Bulletin November 2013 12/13/2013
Statistical Bulletin November 2012 Statistical Bulletin November 2012 12/28/2012
Statistical Bulletin November 2011 Statistical Bulletin November 2011 12/13/2011

No results available.

Download Number Form Name Effective Date
DDD-1748A Strategic Plan 2016 - 2020 06/01/2016
PAD-195 Statement of Rights 08/01/2013
CCA-1251A Start or Grow you Child Care Business 10/01/2019
FAA-1055A Spread the Word (Eng/Span) 05/01/2015
AAA-1316A SNAP-O Partnership 04/01/2019
HRP-1024A SNAP Information Brochure 11/01/2017
WIO-1131G SNAP CAN Desert Poster 7 11/01/2019
WIO-1131F SNAP CAN Desert Poster 6 11/01/2019
WIO-1131E SNAP CAN Desert Poster 5 11/01/2019
WIO-1131D SNAP CAN Desert Poster 4 11/01/2019


Download Number Form Name
 		Effective Date
IDEA Part C Dispute Resolution FFY 2013 Dispute Resolution 2012-13 02/01/2014
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-1038B-S Consentimiento para Evaluación - Aviso Previo por Escrito 02/01/2020
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

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