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Download Number Form Name Effective Date
GCI-1039AS Consent to Obtain 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
GCI-1034A Records Released Log 08/01/2011
GCI-1020A Authorization to Disclose Protected Health Information 08/01/2011
GCI-1020AS Authorization to Disclose Protected Health Information (Spanish) 08/01/2011
GCI-1097A AzEIP Quarterly Progress Report 10/01/2010

Download Number Form Name Effective Date
Annual Report 2017-2018 2017-2018 DES Annual Report 12/31/2018
30th Month Oct 2018 30th Month Financial Report FY-2019 through Oct-2018 12/17/2018
Statistical Bulletin November 2018 Statistical Bulletin November 2018 12/17/2018
30th Month Aug-2018 30th Month Financial Report FY-2019 through Aug-2018 12/12/2018
30th Month Sep-2018 30th Month Financial Report FY-2019 through Sep-2018 12/10/2018
Statistical Bulletin October 2018 Statistical Bulletin October 2018 11/27/2018
GCBVI 2018 Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2018 11/21/2018
DES Welfare-2017 Annual Welfare Reform Report 2017 11/16/2018
DES Welfare-2018 Annual Welfare Reform Report 2018 11/16/2018
Statistical Bulletin September 2018 Statistical Bulletin September 2018 11/05/2018

No results available.

Download Number Form Name Effective Date
WIO-1131D SNAP CAN Desert Poster 4 11/01/2019
WIO-1131E-S Póster del desierto de SNAP CAN 5 11/01/2019
WIO-1131E SNAP CAN Desert Poster 5 11/01/2019
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
APS-1008A Adult Protective Services Statutory Changes 11/01/2019
ESA-1060A Workforce Services (Yuma County) 11/01/2019
AAA-0525A Residents’ Rights 11/01/2019


Download Number Form Name Effective Date
State Performance Plan FFY 2015 AzEIP State Systemic Improvement Plan 04/01/2015
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
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
IDEA Part C Child Count FFY 2013 Resubmission Child Count and Settings 04/01/2014
IDEA Part C Dispute Resolution FFY 2013 Dispute Resolution 2012-13 02/01/2014
GCI-1074A AzEIP AHCCCS Member Service Request 01/01/2014

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