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Download Number Form Name Effective Date
GCI-1037A-S Agencia de Educación Pública (PEA por sus siglas en inglés) Notificación o Recomendación 01/01/2019
GCI-1020A Authorization to Disclose Protected Health Information 08/01/2011
GCI-1020AS Authorization to Disclose Protected Health Information (Spanish) 08/01/2011
GCI-1074A AzEIP AHCCCS Member Service Request 01/01/2014
GCI-1098A AzEIP Public Awareness Materials Order Form 06/01/2019
GCI-1097A AzEIP Quarterly Progress Report 10/01/2010
GCI-1112A AzEIP Transfer File Checklist 03/01/2019
GCI-1103A AZEIP Waiver Request 11/01/2015
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

Download Number Form Name Effective Date
Annual Report on Homelessness 2004 13th Annual Report on Homelessness December 2004 12/01/2004
Annual Report on Homelessness 2005 14th Annual Report on Homelessness December 2005 12/01/2005
Annual Report on Homelessness 2006 15th Annual Report on Homelessness December 2006 12/01/2006
Annual Report on Homelessness 2007 16th Annual Report on Homelessness December 2007 12/01/2007
Annual Report on Homelessness 2008 17th Annual Report on Homelessness December 2008 12/01/2008
Annual Report on Homelessness 2009 18th Annual Report on Homelessness December 2009 12/01/2009
Annual Report on Homelessness 2010 19th Annual Report on Homelessness December 2010 12/31/2010
Annual Report 2000-2001 2000-2001 DES Annual Report 01/18/2002
Annual Report 2001-2002 2001-2002 DES Annual Report 12/31/2002
Annual Report 2002-2003 2002-2003 DES Annual Report 02/02/2004

Download Number Form Name Effective Date
DES 1-01-12 Americans with Disabilities Act (ADA) Title II 03/15/2013
CCA Emergency & Disaster Preparedness Plan Child Care Administration Emergency and Disaster Preparedness Plan 09/30/2019
DES 1-01-14-01 Director's Office of Equal Opportunity Procedures: Client Complaint Process 02/24/2017
WIO-1064A Joint Guidance for Limitations on Use of Subminimum Wage 07/26/2017
DES 1-01-12S Ley de Estadounidenses con Discapacidades - Título II 03/15/2013
DES 1-01-34 Limited English Proficiency 08/08/2014
DES 1-01-14 Office of Equal Opportunity: Client Complaints 08/29/2016
DES 1-01-12-01S Procedimientos del Título II de la Ley de Estadounidenses con Discapacidades 03/15/2013
TEFAP Policy and Procedure Manual The Emergency Food Assistance Program Policy and Procedure Manual 05/24/2017
DES_1-92-03 Tribal Government Consultation 10/06/2014

Download Number Form Name Effective Date
PAD-465-B Stuffer for PAD-465 -Change in Coverage of Emergency Dental Benefits 10/01/2017
GCI-1086A A Family's Guide to Funding Early Intervention Services in Arizona 04/01/2015
AAA-1041A A Guide for Caregivers 10/01/2002
UIB-1240A A Guide to Arizona UI Benefits 07/01/2019
AAA-1283A Adult Protective Services (APS) 08/01/2018
APS-1008A Adult Protective Services Statutory Changes 11/01/2019
PAD-465D ALTCS Member Handbook Insert (English/Spanish) 05/01/2019
DDD-2025A American Indian Health Plan Fee-for-Service Claims Submission Guide 07/01/2019
POX-248 Americans with Disabilities Act Notice 01/01/2019
AD-475-A And Justice for all 01/01/2015


Download Number Form Name
 		Effective Date
GCI-1086A A Family's Guide to Funding Early Intervention Services in Arizona 04/01/2015
GCI-1037A-S Agencia de Educación Pública (PEA por sus siglas en inglés) Notificación o Recomendación 01/01/2019
GCI-1007A Arizona Early Intervention Program (AzEIP) 07/01/2018
Application for Federal Funds FFY 2011 Arizona's Part C FFY 2011 Application for Federal Funds 07/01/2011
Application for Federal Funds FFY 2012 Arizona's Part C FFY 2012 Application for Federal Funds 07/27/2012
Application for Federal Funds FFY 2013 Arizona's Part C FFY 2013 Application for Federal Funds 08/15/2013
Application for Federal Funds FFY 2016 Arizona's Part C FFY 2016 Application for Federal Funds 05/01/2017
Application for Federal Funds FFY 2017 Arizona's Part C FFY 2017 Application for Federal Funds 05/01/2017
GCI-1020A Authorization to Disclose Protected Health Information 08/01/2011
GCI-1020AS Authorization to Disclose Protected Health Information (Spanish) 08/01/2011

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