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Download	Number	Name	Effective Date
121.82 KB (121.82 KB)	FAA-1365A	Definition of Terms	08/01/2021
808.1 KB (808.1 KB)	FAA-1506A-S	Declaración del Cliente de Que No Tiene Ingresos	08/01/2021
166.55 KB (166.55 KB)	FAA-1523A	Cash Programs Personal Responsibility Agreement (PRA)	08/01/2021
119.98 KB (119.98 KB)	FAA-1366A	Eligibility Requirements	08/01/2021
850.64 KB (850.64 KB)	FAA-1004A	Designation of EBT Alternate Card Holder	08/01/2021
208.49 KB (208.49 KB)	FAA-1523A-S	Acuerdo de responsabilidad personal (PRA) del programa de asistencia en efectivo	08/01/2021
176.51 KB (176.51 KB)	FAA-1249A	Verification of Disability	08/01/2021
798.28 KB (798.28 KB)	FAA-0051A	Verification of Financial Accounts	08/01/2021
620.42 KB (620.42 KB)	FAA-1004A-S	Designación de Titular Sustituto para la Tarjeta de EBT	08/01/2021
394.55 KB (394.55 KB)	FAA-1004A-XLP	Designation of EBT Alternate Card Holder (Extra Large Print)	08/01/2021

Download	Number	Name	Effective Date
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	11/15/2021
586.09 KB (586.09 KB)	30th Month March 2021	30th Month Financial Report FY 2021 through March 2021	10/27/2021
593.17 KB (593.17 KB)	30th Month April 2021	30th Month Financial Report FY 2021 through April 2021	10/27/2021
599.82 KB (599.82 KB)	30th Month May 2021	30th Month Financial Report FY 2021 through May 2021	10/27/2021
613.67 KB (613.67 KB)	30th Month June 2021	30th Month Financial Report FY 2021 through June 2021	10/27/2021
526.45 KB (526.45 KB)	30th Month July 2021	30th Month Financial Report FY 2022 through July 2021	10/27/2021
542.92 KB (542.92 KB)	30th Month August 2021	30th Month Financial Report FY 2022 through August 2021	10/27/2021
551.09 KB (551.09 KB)	30th Month September 2021	30th Month Financial Report FY 2022 through September 2021	10/27/2021
799.83 KB (799.83 KB)	AZ State Plan - TEFAP 2021-2022	Arizona State Plan- The Emergency Food Assistance Program (TEFAP) 2021-2022	10/01/2021
1.58 MB (1.58 MB)	DDD-0465A-S	Manual de Sistema de Cuidado a Largo Plazo de Arizona (ALTCS)	10/01/2021

Download	Number	Name	Effective Date
200.19 KB (200.19 KB)	VR-8.1	8.1 Assessments: General	03/31/2021
168.25 KB (168.25 KB)	VR9.7	9.7 Treatments: Neurorehabilitation	03/31/2021
144.32 KB (144.32 KB)	VR-12.7	12.7 Information and Referral	03/31/2021
102.76 KB (102.76 KB)	VR-2.12	2.12 Disability Benefits Calculator (DB101)	03/31/2021
145.1 KB (145.1 KB)	VR-3.1	3.1 Referral, Orientation, Intake Interview and Application	03/31/2021
151.47 KB (151.47 KB)	VR-8.2	8.2 Assessments: Audiology/Ear, Nose & Throat (ENT)	03/31/2021
142.24 KB (142.24 KB)	VR9.8	9.8 Treatments: Medical Equipment	03/31/2021
141.82 KB (141.82 KB)	VR-12.8	12.8 Other Services	03/31/2021
175.16 KB (175.16 KB)	VR-4.4	4.4 Supported Employment IPE Development	03/31/2021
175.67 KB (175.67 KB)	VR-4.1	4.1 Legal Ability to Work in the US	03/31/2021

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