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Download | Number | Form Name | Effective Date |
---|---|---|---|
|
GCI-1046AS | Referral Letter (Spanish) | 08/01/2011 |
|
GCI-1049A | No Contact Letter | 08/01/2011 |
|
GCI-1049AS | No Contact Letter (Spanish) | 08/01/2011 |
|
GCI-1050B | Prior Written Notice (Accessible) | 04/01/2016 |
|
GCI-1050BS | Notificación Previa Por Escrito (Accessible) | 04/01/2016 |
|
GCI-1051A | Follow-Up Letter | 07/01/2019 |
|
GCI-1051A-S | Follow-Up Letter (Spanish) | 07/01/2019 |
|
GCI-1059A | Unable to Process Letter | 08/01/2011 |
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GCI-1059AS | Unable to Process Letter (Spanish) | 08/01/2011 |
|
GCI-1074A | AzEIP AHCCCS Member Service Request | 01/01/2014 |
Download | Number | Form Name | Effective Date |
---|---|---|---|
|
30th Month Apr-2016 | 30th Month Report April Fiscal Year 2016 | 06/09/2016 |
|
30th Month Apr-2017 | 30th Month Report April Fiscal Year 2017 | 06/21/2017 |
|
30th Month Apr-2018 | 30th Month Financial Report FY-2018 through Apr-2018 | 06/06/2018 |
|
30th Month April 2013 | 30th Month Report April Fiscal Year 2013 | 06/10/2013 |
|
30th Month April 2014 | 30th Month Report April Fiscal Year 2014 | 07/09/2014 |
|
30th Month Aug-2010 | 30th Month Report August Fiscal Year 2010 | 08/01/2009 |
|
30th Month Aug-2011 | 30th Month Report August Fiscal Year 2011 | 10/13/2010 |
|
30th Month Aug-2012 | 30th Month Report August Fiscal Year 2012 | 10/13/2011 |
|
30th Month Aug-2013 | 30th Month Report August Fiscal Year 2013 | 10/16/2012 |
|
30th Month Aug-2014 | 30th Month Report August Fiscal Year 2014 | 10/30/2013 |
Download | Number | Form Name | Effective Date |
---|---|---|---|
|
CCA-1098A | How Can the Division of Child Support Enforcement Help You? | 04/01/2014 |
|
CCA-1098A (Spanish) | ¿Cómo le Puede Ayudar la División de Sustento para Menores? | 04/01/2014 |
|
CCA-1101A | What is Regulated Child Care in Arizona? | 04/01/2015 |
|
CCA-1101A-S | ¿Qué es el Cuidado de Niños Regulado en Arizona? | 04/01/2015 |
|
CCA-1182A | DES Certified Family Child Care Home Providers | 09/01/2013 |
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CCA-1182AS | Proveedores de Cuidado de Niños en casa, certificados por el DES | 09/01/2013 |
|
CCA-1199A | Emergency Preparedness & Response Planning | 03/01/2016 |
|
CCA-1199A-S | Guía de Preparación en Caso de Emergencias y Planificación de Respuesta | 12/01/2016 |
|
CCA-1216A | Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES | 11/01/2018 |
|
CCA-1230A | Avoiding the Child Care Waiting List | 07/01/2019 |
Download |
Number |
Form Name | Effective Date |
---|---|---|---|
|
GCI-1039A | Consent to Obtain Information | 08/01/2011 |
|
GCI-1039AS | Consent to Obtain Information (Spanish) | 08/01/2011 |
|
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-1041A | Consent to Bill Health Insurance | 09/01/2019 |
|
GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 09/01/2019 |
|
GCI-1042A | Family Survey | 02/01/2015 |
|
GCI-1042AS | Family Survey (Spanish) | 02/01/2015 |
|
GCI-1043A | Developmental Evaluation Report (Accessible) | 06/01/2016 |
|
GCI-1043A-S | Developmental Evaluation Report (Spanish Accessible) | 06/01/2016 |
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