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Download Number Form Name Effective Date
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
GCI-1044A IFSP Meeting Notice 07/01/2012
GCI-1044AS Notificación de la Reunión del Plan de Servicio Familiar Individualizado 07/01/2012
GCI-1046A Referral Letter 08/01/2011

Download Number Form Name Effective Date
2019 Homeless Lottery Funds Report 2019 Homeless Lottery Funds Report 01/06/2020
30th Month 13th 2010 30th Month Report 13th Fiscal Year 2010 09/13/2010
30th Month 13th 2011 30th Month Report 13th Fiscal Year 2011 09/06/2011
30th Month 13th 2012 30th Month Report 13th Fiscal Year 2012 09/11/2012
30th Month 13th 2013 30th Month Report 13th Fiscal Year 2013 10/28/2013
30th Month 13th 2014 30th Month Report 13th Fiscal Year 2014 09/15/2014
30th Month Apr 2019 30th Month Financial Report FY 2019 through Apr 2019 07/26/2019
30th Month Apr-2010 30th Month Report April Fiscal Year 2010 05/01/2010
30th Month Apr-2011 30th Month Report April Fiscal Year 2011 06/03/2011
30th Month Apr-2012 30th Month Report April Fiscal Year 2012 06/14/2012

No results available.

Download Number Form Name Effective Date
AAA-1304A Home and Community Based Services 09/01/2018
AAA-1316A SNAP-O Partnership 04/01/2019
AAA-1324A Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing 05/01/2019
AAA-1340A Arizona Family Caregiver Reimbursement Program (English/Spanish) 12/16/2019
AAA-1341A Local Medicare Help 01/01/2020
AD-475-A And Justice for all 01/01/2015
APS-1008A Adult Protective Services Statutory Changes 11/01/2019
APS-1008A-S Servicios de Protección al Adulto y Cambios reglamentarios 11/01/2019
Arizona County Demographics Handbook 2018 Arizona County Demographics Handbook 2018 01/09/2019
Arizona Legislative District Demographics Handbook 2018 Arizona Legislative District Demographics Handbook 2018 01/09/2019


Download Number
 		Form Name Effective Date
GCI-1021E-S Plan Individualizado De Servicio Familiar (IFSP) Transición 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-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
GCI-1033A Transition Conference Summary 07/01/2012
GCI-1033AS Resumen de la Conferencia de Transición 07/01/2012
GCI-1034A Records Released Log 08/01/2011
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

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