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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-1101A Reversal/Void Invoice Linte Item Request 10/01/2016
GCI-1043A Developmental Evaluation Report (Accessible) 06/01/2016
GCI-1043A-S Developmental Evaluation Report (Spanish Accessible) 06/01/2016
GCI-1050B Prior Written Notice (Accessible) 04/01/2016
GCI-1050BS Notificación Previa Por Escrito (Accessible) 04/01/2016
GCI-1088BS Guía de Evaluación para los Niños y sus Familias (Accessible) 04/01/2016
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

Download Number Form Name Effective Date
Statistical Bulletin April 2019 Statistical Bulletin April 2019 06/03/2019
SNA & ET State Plan 2019 Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2019 06/01/2019
30th Month Feb 2019 30th Month Financial Report FY 2019 through Feb 2019 05/13/2019
Statistical Bulletin March 2019 Statistical Bulletin March 2019 05/03/2019
6AAC13 Five-Year Review Report - State Assistance Program 04/30/2019
Statistical Bulletin February 2019 Statistical Bulletin February 2019 03/29/2019
6AAC9 Five-Year Review Report-Appellate Services Administration 03/29/2019
30th Month Jan 2019 30th Month Financial Report FY 2019 through Jan 2019 03/21/2019
WIOA 2017 Annual Report WIOA Annual Statewide Performance Report for Title I and Title III for PY-2017 03/14/2019
Statistical Bulletin January 2019 Statistical Bulletin January 2019 02/28/2019

No results available.

Download Number Form Name Effective Date
WIO-1131G SNAP CAN Desert Poster 7 09/01/2019
RSA-1385A BEP Guide for New VR Clients 09/01/2019
Escalation Criteria for Contract Action Unit Review Escalation Criteria for Contract Action Unit Review 08/26/2019
DDD-1721A Building a Relationship with a Direct Care Worker 08/01/2019
POU-003 Notice to Employees 08/01/2019
POU-003-S Aviso a los Empleados 08/01/2019
AAA-0525A Residents’ Rights 08/01/2019
UIB-1241A Take Care of Unemployment Business by the Internet or Telephone 08/01/2019
UIB-1241A-S Atender los Asuntos de UI por Internet o por Teléfono 08/01/2019
CSE-1246A Child Support Services Overview 07/01/2019


Download Number Form Name Effective Date
GCI-1037A Public Education Agency (PEA) Notification/Referral 01/01/2019
GCI-1037A-S Agencia de Educación Pública (PEA por sus siglas en inglés) Notificación o Recomendación 01/01/2019
GCI-1021G-J Individualized Family Service Plan (Addendum) - Packet 12/01/2018
GCI-1021G-J-S Plan Individualizado de Servicio Familiar (Adenda) - Paquete 12/01/2018
GCI-1000A Watch How I Grow (English/Spanish) 10/01/2018
GCI-1007A Arizona Early Intervention Program (AzEIP) 07/01/2018
GCI-1007A-S Programa de Intervención Temprana de Arizona (AzEIP) 07/01/2018
GCI-1109A Consent to Share Early Intervention Referral and Initial IFSP Date 06/01/2018
Public Report of AzEIP 2016 Public Report of Early Intervention Services Programs, 2016 05/14/2018
GCI-1102A AzEIP Child and Family Outcomes- Accessible 06/01/2017

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