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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 |
|---|---|---|---|
|
DES-1254A-S | Lista de Programas y Servicios de DES | 03/01/2023 |
|
CCA-1312A | Provider/Parent/Guardian's Agreement for Non-DES Child Care Charges | 03/01/2023 |
|
DES-1139A | Services Provided by DES | 03/01/2023 |
|
CCA-1311A | Arizona Education Workforce Scholarship Program Application | 03/01/2023 |
|
CCA-1311A-S | Solicitud del Programa de Becas para la Fuerza Laboral Educativa de Arizona | 03/01/2023 |
|
CCA-1312A-S | Acuerdo del Proveedor/Padre/Madre/Tutor Acerca de los Costos de Cuidado de Niños No Cubiertos por el DES | 03/01/2023 |
|
CCA-0227A | Self-Employment Monthly Income Log | 03/01/2023 |
|
CCA-0227A-S | Registro Mensual de Ingresos por Cuenta Propia | 03/01/2023 |
|
CCA-0100A | Provider's Child Care Operational Information | 01/01/2023 |
|
CCA-0100A-S | Información de las Operaciones de un Proveedor de Cuidado de Niños | 01/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CC-214 | Child Care Provider Rate Agreement | 11/01/2022 |
|
CC-214-S | Acuerdo de Tarifas del Proveedor de Cuidado de Niños | 11/01/2022 |
|
CCA-1200A-S | Encuesta sobre mí | 11/01/2022 |
|
CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
|
CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
|
CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
|
CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
|
CCA-1224A | Fast Pass DCS Referral | 10/01/2022 |
|
CCA-1140A-S | Inscripción de Depósito Directo para Centros y Hogares Comunitarios | 09/01/2022 |
|
CCA-0231A-2022 | Child Care Assistance Unwed Minor Parent Deeming Worksheet | 07/01/2022 |
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