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Download Number Form Name Effective Date
GCI-1094A Primary Caregiver Visit Log 09/01/2014
GCI-1096A Individual Family Teaming Report 09/01/2014
GCI-1097A Quarterly Progress Report 09/01/2014
GCI-1042A Family Survey 02/01/2015
GCI-1042AS Family Survey (Spanish) 02/01/2015
GCI-1051A Follow-Up Letter 05/01/2015
GCI-1051AS Follow-Up Letter (Spanish) 05/01/2015
GCI-1103A AZEIP Waiver Request 11/01/2015
GCI-1038A-S Consent for Evaluation-Prior Written Notice (Spanish) 04/01/2016
GCI-1038BS Permiso Para Evaluación - Previa Notificación Escrita (Accessible) 04/01/2016

Download Number Form Name Effective Date
Annual Report on Homelessness 2006 15th Annual Report on Homelessness December 2006 12/01/2006
CCA Market Rate Survey 06 Child Care Market Rate Survey 2006 12/01/2006
Statistical Bulletin Dec 06 Statistical Bulletin Dec 2006 12/30/2006
Tribal Consultation Report 2006 Tribal Consultation Report 2006 12/31/2006
DES Welfare-2006 DES Welfare Report 2006 12/31/2006
Statistical Bulletin Jan 07 Statistical Bulletin Jan 2007 01/30/2007
Statistical Bulletin Feb 07 Statistical Bulletin Feb 2007 02/28/2007
Annual Report 2005-2006 2005-2006 DES Annual Report 03/27/2007
Statistical Bulletin Mar 07 Statistical Bulletin Mar 2007 03/30/2007
Statistical Bulletin Apr 07 Statistical Bulletin Apr 2007 04/30/2007

No results available.

Download Number Form Name Effective Date
PAY-626 Non-Certified Relative Child Care Provider Program 04/01/2013
PAY-626-S Programa de Parientes como Proveedores No Certificados de Cuidado de Niños 04/01/2013
RSA-PL8243 Client Assistance Program 06/20/2013
GCI-1070A Child and Family Rights in the Arizona Early Intervention Program 07/01/2013
GCI-1070A-S Derechos del Menor y la Familia bajo en Programa de Intervención Temprana de Arizona (AzEIP) 07/01/2013
PAD-195 Statement of Rights 08/01/2013
PAD-195-S Declaración de Derechos 08/01/2013
CCA-1182AS Proveedores de Cuidado de Niños en casa, certificados por el DES 09/01/2013
EN-025 Food Assistance Programs in Arizona 09/01/2013
EN-025-S Programas de Asistencia Alimenticia en Arizona 09/01/2013


Download Number Form Name Effective Date
Application for Federal Funds FFY 2012 Arizona's Part C FFY 2012 Application for Federal Funds 07/27/2012
GCI-1087A Child's Data Form Referral and Demographics 09/01/2012
GCI-1086A-S Una Guía Familiar para la Financiación de los Servicios de Intervención Temprana en Arizona 11/01/2012
GCI-1089A Incident Report 12/01/2012
GCI-1081A-S La Importancia de la Historia Familiar 01/01/2013
IDEA Part C Child Count FFY 2012 Child Count and Setting 2012 02/01/2013
GCI-1070A Child and Family Rights in the Arizona Early Intervention Program 07/01/2013
GCI-1070A-S Derechos del Menor y la Familia bajo en Programa de Intervención Temprana de Arizona (AzEIP) 07/01/2013
Application for Federal Funds FFY 2013 Arizona's Part C FFY 2013 Application for Federal Funds 08/15/2013
State Performance Plan FFY 2012 FFY 2012 AzEIP Annual Performance Report 09/30/2013

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