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You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services. 

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Download Number Form Name Effective Date
FAA-1055A Spread the Word (Eng/Span) 05/01/2015
FA-001-T-FF Application for Benefits - Additional Applicants 02/01/2012
FA-020-FF Referral for Social Security Number 06/01/2009
FA-255-FFS Afirmación de Hogares por Separado 04/01/2009
FAA-1373A Emergency Authorization Fax Sheet 04/01/2009
FA-057-FF Land Operations Office Information Request 10/01/2005

Download Number Form Name Effective Date
30th Month Mar-2017 30th Month Report March Fiscal Year 2017 05/16/2017
Statistical Bulletin April 2017 Statistical Bulletin April 2017 05/11/2017
Early Intervention Program Determinations FFY 2013 Early Intervention Program Determinations FFY 2013 05/03/2017
Early Intervention Program Determinations FFY 2014 Early Intervention Program Determinations FFY 2014 05/03/2017
Application for Federal Funds FFY 2016 Arizona's Part C FFY 2016 Application for Federal Funds 05/01/2017
Application for Federal Funds FFY 2017 Arizona's Part C FFY 2017 Application for Federal Funds 05/01/2017
Statistical Bulletin March 2017 Statistical Bulletin March 2017 05/01/2017
6AAC5-Article-49 Five-Year Review Report – Child Care Assistance 04/28/2017
30th Month Feb-2017 30th Month Report February Fiscal Year 2017 04/18/2017
Statistical Bulletin February 2017 Statistical Bulletin February 2017 03/30/2017

No results available.

Download Number Form Name Effective Date
GCI-1093A-S Lo que debe esperarse de Intervención Temprana basada en equipo 03/01/2019
ESA-1322A-S El Programa Militar de Hilton HHonors 02/01/2019
ESA-1322A The Hilton Honors Military Program 02/01/2019
FAA-1700A SAW Contact Card 02/01/2019
Arizona County Demographics Handbook 2018 Arizona County Demographics Handbook 2018 01/09/2019
DDD-1945A Support Coordination and You 01/01/2019
DDD-1945A-S Coordinación de Apoyo y Usted 01/01/2019
HRP-1047A Arizona Commodity Senior Food Program (CSFP) 01/01/2019
CSE-1177A How to Make Your IV-D Child Support Payment (English/Spanish) 01/01/2019
POX-248 Americans with Disabilities Act Notice 01/01/2019


Download Number Form Name Effective Date
FAA-1475A Verification of Out-Of-State Benefits 01/01/2019
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
FAA-1506A Customer Statement of No Income 11/01/2018
FAA-1045A How to Use Your Arizona EBT Card 10/01/2018
FAA-1045A-S Cómo utilizar su targeta de EBT de Arizona 10/01/2018
FAA-1513A-S Consejos para Ahorrar Tiempo 07/01/2018
FAA-1533A Verification of Unfitness for Work for Adults 07/01/2018
FAA-1004A-S Designación de Titular Sustituto para la Tarjeta de EBT 07/01/2018
FAA-1004A Designation of EBT Alternate Card Holder 07/01/2018

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