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Download Number Form Name Effective Date
GCI-1109A Consent to Share Early Intervention Referral and Initial IFSP Date 06/01/2018
GCI-1041A-S Consentimiento para el Uso del Seguro de Salud 09/01/2019
GCI-1082AS Consentimiento para Evaluación - Notificación Previa por Escrito 07/01/2012
GCI-1083AS Consentimiento para la Evaluación del Niño 07/01/2012
GCI-1043A Developmental Evaluation Report (Accessible) 06/01/2016
GCI-1043A-S Developmental Evaluation Report (Spanish Accessible) 06/01/2016
GCI-1042A Family Survey 02/01/2015
GCI-1042AS Family Survey (Spanish) 02/01/2015
GCI-1051A Follow-Up Letter 07/01/2019
GCI-1051A-S Follow-Up Letter (Spanish) 07/01/2019

Download Number Form Name Effective Date
2012 Homeless Lottery Funds Report 2012 Homeless Lottery Funds Report 12/21/2012
Annual Report 2012-2013 2012-2013 DES Annual Report 02/06/2014
2013 Child Care Report to JLBC 2013 Child Care Report to JLBC 10/03/2013
2013 Homeless Lottery Funds Report 2013 Homeless Lottery Funds Report 12/30/2013
Annual Report 2013-2014 2013-2014 DES Annual Report 12/23/2014
2014 Child Care Report to JLBC 2014 Child Care Report to JLBC 09/18/2014
2014 Homeless Lottery Funds Report 2014 Homeless Lottery Funds Report 12/18/2014
Annual Report 2014-2015 2014-2015 DES Annual Report 12/23/2015
2015 Homeless Lottery Funds Report 2015 Homeless Lottery Funds Report 02/10/2016
Annual Report 2015-2016 2015-2016 DES Annual Report 01/03/2017

No results available.

Download Number Form Name Effective Date
WIO-1112A Arizona Reentry Program 11/01/2019
FAA-1407A Arizona WIC Reference Guide 05/01/2019
DAD-1004A [email protected] Job Center - Use it! 09/01/2017
DAD-1004A-S [email protected] Job Center - ¡Úselo! 09/01/2017
HPY-330 Article 52: Certification and Supervision of Family Child Care Home Providers (English/Spanish) – EFF 12/01/2018
AAA-1167A-S Asistencia Legal para los Arizonenses de la Tercera Edad 08/01/2018
PAF-001-B Assistance Programs, What You Need To Know 04/01/2018
AAA-1075A Assisted Living Residents Rights 07/01/2005
UIB-1241A-S Atender los Asuntos de UI por Internet o por Teléfono 08/01/2019
CSE-1225A Attention All Grandparents Raising Grandchildren 03/01/2014


Download Number Form Name
 		Effective Date
State Performance Plan FFY 2015 AzEIP State Systemic Improvement Plan 04/01/2015
GCI-1112A AzEIP Transfer File Checklist 03/01/2019
GCI-1103A AZEIP Waiver Request 11/01/2015
GCI-1106A-S AzEIP y Proveedores del Cuidado de Niños 02/01/2017
Annual Performance Report FFY 2009 AzEIP's Annual Performance Report FFY 2009 07/01/2011
GCI-1088A Child and Family Assessment Guide for Families 04/01/2016
GCI-1088B Child and Family Assessment Guide for Families (Accessible) 04/01/2016
GCI-1070A Child and Family Rights in the Arizona Early Intervention Program 07/01/2013
GCI-1070A Child and Family Rights in the Arizona Early Intervention Program (AzEIP) Accessible 05/01/2016
IDEA Part C Child Count FFY 2012 Child Count and Setting 2012 02/01/2013

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