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Download Number Form Name Effective Date
GCI-1039AS Consent to Obtain Information (Spanish) 08/01/2011
GCI-1049A No Contact Letter 08/01/2011
GCI-1046A Referral Letter 08/01/2011
GCI-1049AS No Contact Letter (Spanish) 08/01/2011
GCI-1046AS Referral Letter (Spanish) 08/01/2011
GCI-1059A Unable to Process Letter 08/01/2011
GCI-1059AS Unable to Process Letter (Spanish) 08/01/2011
GCI-1020AS Authorization to Disclose Protected Health 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

Download Number Form Name Effective Date
Budget-FY2020 DES Budget Summary FY 2020 09/07/2018
30th Month June-2018 30th Month Financial Report FY-2018 through Jun-2018 09/05/2018
WIO-1082A WIOA Title I Program Year 16 Annual Report 08/29/2018
Statistical Bulletin July 2018 Statistical Bulletin July 2018 08/15/2018
APS SFY 2018 Statistics Adult Protective Services SFY 2018 Activity Summary/Statistics by County 08/02/2018
Statistical Bulletin June 2018 Statistical Bulletin June 2018 07/25/2018
Family Support Program 2017 DDD Family Support Program Annual Report 2017 07/16/2018
30th Month May-2018 30th Month Financial Report FY-2018 through May-2018 07/06/2018
SSBG Plan 2018-2019 Social Services Block Grant Plan 2018-2019 07/01/2018
CCA Market Rate Survey 18 Child Care Market Rate Survey 2018 07/01/2018

No results available.

Download Number Form Name Effective Date
GCI-1081A Interagency Coordinating Council for Infants and Toddlers (Consejo de Coordinación Interinstitucional para Bebés y Niños Pequeños) 06/01/2019
DDD-0640A How DDD Eligibility is Determined 06/01/2019
DDD-0640A-S Cómo se determina la elegibilidad DDD 06/01/2019
ESA-1060A Reemployment Workforce Services 06/01/2019
ESA-1060A-S Servicios de Reintegración Laboral 06/01/2019
JOB-1135A Arizona Jobs Program 06/01/2019
JOB-1135A-S Programa Jobs de Arizona 06/01/2019
CSE-1299A DCSS Resource Customer Guide 06/01/2019
RSA-1213A Disability Benefits 101 05/01/2019
FAA-1407A Arizona WIC Reference Guide 05/01/2019


Download Number Form Name Effective Date
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-1103A AZEIP Waiver Request 11/01/2015
State Performance Plan FFY 2013 AzEIP Annual Performance, 2013 04/15/2015
Public Report of AzEIP 2013 Public Report of Early Intervention Services Programs, 2013 04/15/2015
GCI-1086A A Family's Guide to Funding Early Intervention Services in Arizona 04/01/2015
IDEA Part C Child Count FFY 2014 AzEIP Child Count and Settings Data 2014-2015 04/01/2015
State Performance Plan FFY 2015 AzEIP State Systemic Improvement Plan 04/01/2015
GCI-1042A Family Survey 02/01/2015
GCI-1042AS Family Survey (Spanish) 02/01/2015

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