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Download	Number	Name	Effective Date
188.13 KB (188.13 KB)	FAA-1523A	Cash Programs Personal Responsibility Agreement (PRA)	03/01/2021
204.67 KB (204.67 KB)	FAA-1523A-S	Acuerdo de responsabilidad personal (PRA) del programa de asistencia en efectivo	03/01/2021
2.28 MB (2.28 MB)	FAA-0001A	Application for Benefits	03/01/2021
2.32 MB (2.32 MB)	FAA-0001A-S	Solicitud de Beneficios	03/01/2021
261.18 KB (261.18 KB)	FAA-0559A	Food Distribution / Nutrition Assistance Program Participation	03/01/2021
245.95 KB (245.95 KB)	FAA-0098A-S	Solicitud de Apelación	01/01/2021
216.83 KB (216.83 KB)	FAA-0098A-LP	Hearing Request (Large Print)	01/01/2021
201.3 KB (201.3 KB)	FAA-0098A-SLP	Solicitud de Apelación (Letra Grande)	01/01/2021
188.17 KB (188.17 KB)	FAA-0098A-XLP	Hearing Request (Extra Large Print)	01/01/2021
206.8 KB (206.8 KB)	FAA-1182A	AHCCCS Fraud Prevention Determination Authorization	01/01/2021

Download	Number	Name	Effective Date
664.32 KB (664.32 KB)	30th Month February 2021	30th Month Financial Report FY 2021 through February 2021	03/29/2021
473.46 KB (473.46 KB)	Statistical Bulletin February 2021	Statistical Bulletin February 2021	03/29/2021
633.81 KB (633.81 KB)	30th Month December 2020	30th Month Financial Report FY 2021 through December 2020	03/29/2021
654.53 KB (654.53 KB)	30th Month January 2021	30th Month Financial Report FY 2021 through January 2021	03/29/2021
449.57 KB (449.57 KB)	Statistical Bulletin January 2021	Statistical Bulletin January 2021	03/02/2021
276.52 KB (276.52 KB)	6AAC10	Five-Year Review Report - The Jobs Program	03/02/2021
712.13 KB (712.13 KB)	30th Month September 2020	30th Month Financial Report FY 2021 through September 2020	02/26/2021
717.03 KB (717.03 KB)	30th Month October 2020	30th Month Financial Report FY 2021 through October 2020	02/26/2021
670.77 KB (670.77 KB)	30th Month November 2020	30th Month Financial Report FY 2021 through November 2020	02/26/2021
1.17 MB (1.17 MB)	CHRP Policy and Procedure Manual	Arizona Coordinated Hunger Relief - The Emergency Food Assistance Program (TEFAP) Commodity Senior Food Program (CSFP) Policy and Procedure Manual	02/08/2021

Download	Number	Name	Effective Date
199.12 KB (199.12 KB)	VR9.5	9.5 Treatments: Psychology/Psychiatric/Mental Health	03/31/2021
141.36 KB (141.36 KB)	VR-12.3	12.3 Reader Services	03/31/2021
145.86 KB (145.86 KB)	VR-15.4	15.4 Fair Hearing	03/31/2021
154.76 KB (154.76 KB)	VR-2.7	2.7 Voter Registration	03/31/2021
130.16 KB (130.16 KB)	VR-1.5	1.5 Informed Choice	03/31/2021
149.76 KB (149.76 KB)	VR9.6	9.6 Treatments: Dental	03/31/2021
135.09 KB (135.09 KB)	VR-12.4	12.4 Interpreting Services	03/31/2021
138.27 KB (138.27 KB)	VR-15.5	15.5 Director Review of Fair Hearing Decisions	03/31/2021
110.81 KB (110.81 KB)	VR-2.8	2.8 Schedule A Documentation	03/31/2021
182.06 KB (182.06 KB)	VR-7.1	7.1 General Services	03/31/2021

Download	Number	Name	Effective Date
2.59 MB (2.59 MB)	DDD-1260A-S	Navegando el Sistema	04/01/2021
282.79 KB (282.79 KB)	ESA-1362SA-S	Programe una cita virtual	04/01/2021
284.46 KB (284.46 KB)	ESA-1362A	Virtual Appointment Scheduler	04/01/2021
189.34 KB (189.34 KB)	DDD-2084A	Everyone has the right to be safe (Adult)	04/01/2021
594.12 KB (594.12 KB)	ESA-1184A	Veterans' Priority of Services	04/01/2021
183.05 KB (183.05 KB)	DDD-2084B	Everyone has the right to be safe (Child)	04/01/2021
574.95 KB (574.95 KB)	ESA-1184A-S	Prioridad de Servicio para los Veteranos	04/01/2021
2.82 MB (2.82 MB)	FAA-1208A-XLP	Language Notification Flyer (Extra Large Print)	03/01/2021
698.53 KB (698.53 KB)	HRP-1023A	Food Assistance Program - The Emergency Food Assistance Program (TEFAP) (English/Spanish)	03/01/2021
599.59 KB (599.59 KB)	FAA-1045A-S	Cómo utilizar su tarjeta de EBT de Arizona	03/01/2021

No results available.

Download	Number	Name	Effective Date
261.18 KB (261.18 KB)	FAA-0559A	Food Distribution / Nutrition Assistance Program Participation	03/01/2021
599.59 KB (599.59 KB)	FAA-1045A-S	Cómo utilizar su tarjeta de EBT de Arizona	03/01/2021
188.13 KB (188.13 KB)	FAA-1523A	Cash Programs Personal Responsibility Agreement (PRA)	03/01/2021
204.67 KB (204.67 KB)	FAA-1523A-S	Acuerdo de responsabilidad personal (PRA) del programa de asistencia en efectivo	03/01/2021
2.82 MB (2.82 MB)	FAA-1208A-XLP	Language Notification Flyer (Extra Large Print)	03/01/2021
1.15 MB (1.15 MB)	FAA-1045A-LP	How to Use Your Arizona EBT Card (Large Print)	03/01/2021
1.19 MB (1.19 MB)	FAA-1045A-XLP	How to Use Your Arizona EBT Card (Extra Large Print)	03/01/2021
2.28 MB (2.28 MB)	FAA-0001A	Application for Benefits	03/01/2021
2.32 MB (2.32 MB)	FAA-0001A-S	Solicitud de Beneficios	03/01/2021
592.65 KB (592.65 KB)	FAA-1045A	How to Use Your Arizona EBT Card	03/01/2021