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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
SSBG Plan 2019-2020 Social Services Block Grant Plan 2019-2020 07/01/2019
6AAC2 Five-Year Review Report - Employment and Training 06/28/2019
6AAC5-Article-52 Five-Year Review Report - Child Care Assistance 06/28/2019
Statistical Bulletin May 2019 Statistical Bulletin May 2019 06/14/2019
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

No results available.

Download Number Form Name Effective Date
WIO-1131G SNAP CAN Desert Poster 7 11/01/2019
WIO-1131G-S Póster del desierto de SNAP CAN 7 11/01/2019
AAA-0525A Residents’ Rights 11/01/2019
APS-1008A Adult Protective Services Statutory Changes 11/01/2019
AAA-0525A-S Derechos de Residentes 11/01/2019
TAA-1087A-S Programa de Subsidio por Ajuste de Comercio 10/01/2019
DDD-0640A How DDD Eligibility is Determined 10/01/2019
DDD-0640A-S Cómo se determina la elegibilidad DDD 10/01/2019
DDD-1551A-Flyer Medallion Program - Flyer 10/01/2019
DDD-0465A Arizona Long Term Care System (ALTCS) Member Handbook 10/01/2019


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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