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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 |
|---|---|---|---|
|
CCA-1200A | About Me Questionnaire | 11/01/2022 |
|
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-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
|
CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
|
CCA-0001A | Application for Child Care Assistance | 10/01/2022 |
|
CCA-0001A-S | Solicitud de Asistencia para Cuidado Infantil | 10/01/2022 |
|
CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
|
CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
|
CCA-1224A | Fast Pass DCS Referral | 10/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CCA-1271A | Service Consent Form | 06/01/2022 |
|
CCA-1271A-S | Formulario de Consentimiento de Servicio | 06/01/2022 |
|
CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
|
CCA-1207A-S | Aviso Sobre Derechos de Monitorización - Verificación de Divulgación | 06/01/2022 |
|
CCA-1211A-S | Solicitud para Búsqueda de Verificación de Antecedentes | 05/01/2022 |
|
CCA-0024A-S | Declaración de Verificación de Sueldo y Empleo | 11/01/2021 |
|
CCA-0225A | Verification of Unable\Unavailable Status | 11/01/2021 |
|
CCA-1186A | Authority to Release Information | 11/01/2021 |
|
CCA-1105A | Tax Claimant Declaration | 11/01/2021 |
|
CCA-1105A-S | Declaración de reclamante fiscal | 11/01/2021 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
Statistical Bulletin September 2022 | Statistical Bulletin September 2022 | 11/07/2022 |
|
30th Month September 2022 | 30th Month Financial Report FY 2023 through September 2022 | 11/04/2022 |
|
6AAC5-Article-49 | Five-Year Review Report - DCC Article 49 | 11/01/2022 |
|
Draft Aging Plan 2023-2026 | Arizona State Plan on Aging 2023-2026 | 10/03/2022 |
|
30th Month June 2022 | 30th Month Financial Report FY 2022 through June 2022 | 09/22/2022 |
|
6AAC8-5YRR 2022 | Five-Year Review Report - DAAS | 09/07/2022 |
|
Statistical Bulletin July 2022 | Statistical Bulletin July 2022 | 09/02/2022 |
|
DES Welfare-2022 | SFY 2022 Annual Welfare Reform Report | 09/02/2022 |
|
FY2024-Budget | Fiscal Year 2024 DES Budget Request | 09/02/2022 |
|
TANF Plan 2020 | TANF State Plan Effective October 1, 2020 | 08/10/2022 |
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