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Download Number Form Name Effective Date
GCI-1042A Family Survey 02/01/2015
GCI-1042AS Family Survey (Spanish) 02/01/2015
GCI-1096A Individual Family Teaming Report 09/01/2014
GCI-1095A Joint Visit Planning Tool 04/01/2014
GCI-1074A AzEIP AHCCCS Member Service Request 01/01/2014
GCI-1089A Incident Report 12/01/2012
GCI-1084A Hearing Screening Tracking 07/01/2012
GCI-1084AS Formulario de Seguimiento de la Revisión Auditiva 07/01/2012
GCI-1032A Invitation to Participate in a Transition Conference/IFSP Transition Planning Meeting 07/01/2012
GCI-1032AS Invitación a Participar en una Conferencia de Transición y Reunión de IFSP sobre Planificación de la Transición 07/01/2012

Download Number Form Name Effective Date
SSBG Plan 2019-2020 Social Services Block Grant Plan 2019-2020 07/01/2019
6AAC5-Article-52 Five-Year Review Report - Child Care Assistance 06/28/2019
6AAC2 Five-Year Review Report - Employment and Training 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-1131F SNAP CAN Desert Poster 6 11/01/2019
WIO-1131F-S Póster del desierto de SNAP CAN 6 11/01/2019
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
ESA-1060A Workforce Services (Yuma County) 11/01/2019
AAA-0525A-S Derechos de Residentes 11/01/2019
APS-1008A-S Servicios de Protección al Adulto y Cambios reglamentarios 11/01/2019
WIO-1112A Arizona Reentry Program 11/01/2019


Download Number Form Name Effective Date
GCI-1102A-S Evaluaciones de los Resultados de los Niños y las Familias - Accessible 06/01/2017
Early Intervention Program Determinations FFY 2015 Early Intervention Program Determinations FFY 2015 05/25/2017
Public Report of AzEIP 2015 Public Report of Early Intervention Services Programs, 2015 05/22/2017
Early Intervention Program Determinations FFY 2013 Early Intervention Program Determinations FFY 2013 05/03/2017
Early Intervention Program Determinations FFY 2014 Early Intervention Program Determinations FFY 2014 05/03/2017
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-1106A AzEIP and Child Care Providers 02/01/2017
GCI-1106A-S AzEIP y Proveedores del Cuidado de Niños 02/01/2017
GCI-1107A Inclusion for ALL Children 02/01/2017

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