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Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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| Download |
Number |
Name | Effective Date |
|---|---|---|---|
|
FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 01/01/2021 |
|
FAA-1208A | Language Notification Flyer | 01/01/2021 |
|
FAA-1208A-LP | Language Notification Flyer (Large Print) | 02/01/2021 |
|
FAA-1208A-XLP | Language Notification Flyer (Extra Large Print) | 03/01/2021 |
|
FAA-1249A | Verification of Disability | 05/01/2023 |
|
FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
|
FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
|
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
|
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
|
FAA-1366A | Eligibility Requirements | 05/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-1439A-S | Declaración de Sueldo de Empleo Por Cuenta Propia | 05/01/2023 |
|
FAA-1439A-SLP | Declaración de Sueldo de Empleo por Cuenta Propia (Letra Grande) | 05/01/2023 |
|
FAA-1439A-SXLP | Declaración de Sueldo de Empleo por Cuenta Propia (Letra Extra Grande) | 05/01/2023 |
|
FAA-1439A-XLP | Self-Employment Income Statement (Extra Large Print) | 05/01/2023 |
|
FAA-1440A | Cash Assistance Benefit Limit Extension Request | 12/01/2019 |
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FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request (Large Print) | 12/01/2019 |
|
FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request (Extra Large Print) | 12/01/2019 |
|
FAA-1442A | Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información | 12/01/2019 |
|
FAA-1493A | Authorized Representative Request | 09/01/2022 |
|
FAA-1493A-LP | Nutrition Assistance Authorized Representative Request (Large Print) | 09/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
30th Month June 2020 | 30th Month Financial Report FY 2020 through June 2020 | 10/01/2020 |
|
30th Month June 2021 | 30th Month Financial Report FY 2021 through June 2021 | 10/27/2021 |
|
30th Month June 2022 | 30th Month Financial Report FY 2022 through June 2022 | 09/22/2022 |
|
30th Month June-2016 | 30th Month Report June Fiscal Year 2016 | 10/05/2016 |
|
30th Month June-2018 | 30th Month Financial Report FY-2018 through Jun-2018 | 09/05/2018 |
|
30th Month Mar 2019 | 30th Month Financial Report FY 2019 through Mar 2019 | 07/26/2019 |
|
30th Month Mar-2015 | 30th Month Report March Fiscal Year 2015 | 07/30/2015 |
|
30th Month Mar-2016 | 30th Month Report March Fiscal Year 2016 | 06/07/2016 |
|
30th Month Mar-2017 | 30th Month Report March Fiscal Year 2017 | 05/16/2017 |
|
30th Month Mar-2018 | 30th Month Financial Report FY-2018 through Mar-2018 | 05/04/2018 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
VR-3.1 | 3.1 Referral, Orientation, Intake Interview and Application | 06/30/2022 |
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VR-3.2 | 3.2 Eligibility and Order of Selection | 03/31/2023 |
|
VR-4.1 | 4.1 Legal Ability to Work in the US | 03/31/2021 |
|
VR-4.2 | 4.2 Timelines for Individualized Plan for Employment (IPE) Development | 03/31/2021 |
|
VR-4.3 | 4.3 IPE Development | 06/30/2022 |
|
VR-4.4 | 4.4 Supported Employment IPE Development | 03/31/2021 |
|
VR-4.5 | 4.5 Self-Employment IPE | 03/31/2021 |
|
VR-4.5.1 | 4.5.1 Self-Employment - Assessment, Business Concept Overview Development, Review and Approval Process | 03/31/2021 |
|
VR-4.5.2 | 4.5.2 Self-Employment IPE Development, Technical Assistance and Business Plan Development | 03/31/2021 |
|
VR-4.5.3 | 4.5.3 Self-Employment - Business Plan Review and Approval for VR Funding | 03/31/2021 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CCA-1101A-S | Proveedores de Cuidado de Niños en Arizona | 09/01/2022 |
|
CCA-1199A | Emergency Preparedness & Response Planning | 04/01/2022 |
|
CCA-1199A-S | Guía de Preparación en Caso de Emergencias y Planificación de Respuesta | 04/01/2022 |
|
CCA-1216A | Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES | 02/01/2023 |
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CCA-1230A | Avoiding the Child Care Waiting List | 07/01/2019 |
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CCA-1230A-S | Evitar la lista de espera para el cuidado de niños | 07/01/2019 |
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CCA-1251A | Start or Grow you Child Care Business | 10/01/2019 |
|
CCA-1253A | Choosing Quality Child Care (English/Spanish) | 04/01/2019 |
|
CCA-1275A | Preschool Suspension and Expulsion Support for Families | 05/01/2022 |
|
CCA-1280A | Arizona Suspension and Expulsion Prevention Announcement | 03/01/2021 |
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