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Download Number Form Name Effective Date
FA-075 Verification of School Attendance 05/01/2018
FA-060 Authority to Release Student Information 06/01/2018
FAA-1004A Designation of EBT Alternate Card Holder 07/01/2018
FAA-1004A-S Designación de Titular Sustituto para la Tarjeta de EBT 07/01/2018
FAA-1533A Verification of Unfitness for Work for Adults 07/01/2018
FA-065-FF Verification of Living Arrangements/Residential Address 08/01/2018
FA-225-S Afirmación De Hogares Por Separado 09/01/2018
FA-255 Separate Household Status Statement 09/01/2018
FAA-1565A Nutrition Assistance Drug Testing Agreement 12/01/2018
FAA-1565A-S Acuerdo de Pruebas de Drogas para recibir Asistencia Nutricional 12/01/2018

Download Number Form Name Effective Date
Service Integration Service Integration: A Partnership for Safe and Stable Families in Arizona 01/05/2006
Statistical Bulletin Apr 06 Statistical Bulletin Apr 2006 04/30/2006
Statistical Bulletin May 06 Statistical Bulletin May 2006 05/31/2006
Statistical Bulletin Jun 06 Statistical Bulletin Jun 2006 06/30/2006
Statistical Bulletin Jul 06 Statistical Bulletin Jul 2006 07/30/2006
Statistical Bulletin Aug 06 Statistical Bulletin Aug 2006 08/30/2006
Statistical Bulletin Sep 06 Statistical Bulletin Sep 2006 09/30/2006
2006 Child Care Report to JLBC Child Care Report to JLBC 2006 10/02/2006
Statistical Bulletin Oct 06 Statistical Bulletin Oct 2006 10/30/2006
Statistical Bulletin Nov 06 Statistical Bulletin Nov 2006 11/30/2006

No results available.

Download Number Form Name Effective Date
PAD-588-PD Decisions About Your Health Care 11/01/2011
PAD-588-PDS Decisiones sobre el cuidado de su salud 11/01/2011
DDD-1558A Choking (Prevention is No Accident!) 11/01/2011
PAD-517-S Trabajando Junto a Usted 03/01/2012
GCI-1086A-S Una Guía Familiar para la Financiación de los Servicios de Intervención Temprana en Arizona 11/01/2012
FA-177-FF Claim of Good Cause (Eng/Span) 12/01/2012
GCI-1081A-S La Importancia de la Historia Familiar 01/01/2013
PAY-626 Non-Certified Relative Child Care Provider Program 04/01/2013
PAY-626-S Programa de Parientes como Proveedores No Certificados de Cuidado de Niños 04/01/2013
RSA-PL8243 Client Assistance Program 06/20/2013


Download Number Form Name Effective Date
PAF-558 Don't Take a Chance...Report a Change! 06/01/2017
PAF-558-S No se arriesgue...¡Informe los cambios! 06/01/2017
POF-230 Don't Take a Chance...Report a Change! 07/01/2017
FA-065-FFS Verificación de Arreglos de Vivienda/Dirección Residencial 07/01/2017
POF-230-S No se arriesgue...¡ Informe los cambios ! 08/01/2017
FAA-1097A Young Adult Transitional Insurance (YATI) Referral 09/01/2017
FNS-252-2 Application for Meal Services 10/01/2017
FAA-1506A-S Declaración del Cliente de Que No Tiene Ingresos 11/01/2017
HRP-1024A SNAP Information Brochure 11/01/2017
HRP-1044A CSFP Information Brochure 11/01/2017

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