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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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  1. Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down. 
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Download Number Form Name Effective Date
CCA-0001A-S Solicitud de Asistencia para Cuidado de Niños 08/01/2019
CCA-0201A-S Declaración de Certificación para Proveer Servicios de Cuidado de Niños 11/01/2019
CCA-0229A (FY20) Child Care Assistance Gross Monthly Income Eligibility Chart and Fee Schedule (English/Spanish) 08/01/2019
CCA-0231A Child Care Assistance Unwed Minor Parent Deeming Worksheet 08/01/2019
CCA-1015A Withdrawal or Termination Request 07/01/2018
CCA-1015A-S Solicitud de Retiro o Terminación 07/01/2018
CCA-1061A A Message for My Child Care Specialist 11/01/2017
CCA-1061A-S Un Mensaje para mi Especialista en Cuidado de Niños 11/01/2017
CCA-1116A Child Care Assistance Priority Waiting List Income Table 09/01/2019
CCA-1161A Self-Sufficiency Statement 09/01/2018

Download Number Form Name Effective Date
2019 Homeless Lottery Funds Report 2019 Homeless Lottery Funds Report 01/06/2020
30th Month 13th 2010 30th Month Report 13th Fiscal Year 2010 09/13/2010
30th Month 13th 2011 30th Month Report 13th Fiscal Year 2011 09/06/2011
30th Month 13th 2012 30th Month Report 13th Fiscal Year 2012 09/11/2012
30th Month 13th 2013 30th Month Report 13th Fiscal Year 2013 10/28/2013
30th Month 13th 2014 30th Month Report 13th Fiscal Year 2014 09/15/2014
30th Month Apr 2019 30th Month Financial Report FY 2019 through Apr 2019 07/26/2019
30th Month Apr-2010 30th Month Report April Fiscal Year 2010 05/01/2010
30th Month Apr-2011 30th Month Report April Fiscal Year 2011 06/03/2011
30th Month Apr-2012 30th Month Report April Fiscal Year 2012 06/14/2012

No results available.

Download Number Form Name Effective Date
AAA-1304A Home and Community Based Services 09/01/2018
AAA-1316A SNAP-O Partnership 04/01/2019
AAA-1324A Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing 05/01/2019
AAA-1340A Arizona Family Caregiver Reimbursement Program (English/Spanish) 12/16/2019
AAA-1341A Local Medicare Help 01/01/2020
AAA-1341A-S Ayuda local de Medicare 01/01/2020
AD-475-A And Justice for all 01/01/2015
APS-1008A Adult Protective Services Statutory Changes 11/01/2019
APS-1008A-S Servicios de Protección al Adulto y Cambios reglamentarios 11/01/2019
Arizona County Demographics Handbook 2018 Arizona County Demographics Handbook 2018 01/09/2019


Download Number
 		Form Name Effective Date
CC-044 Verification of Shelter Case Plan 11/01/2016
CC-046 DES Child Care Services Information 09/01/2016
CC-046-S DES Child Care Services Information (Spanish) 07/01/2011
CC-208 Provider/Parent/Guardian's Agreement for Child Care Charges 05/01/2011
CC-208-S Acuerdo del Proveedor/Padre/Madre/Guardian - Acerca de los Costos de Cuidado de Niños 05/01/2011
CC-225 Verification of Unable\Unavailable Status 03/01/2018
CC-227 Self-Employement Log 04/01/2012
CC-227-S Registro de Trabajo Realizado por cuenta propia 04/01/2012
CC-228 Self-Employment Budget Record 10/01/2018
CC-228-S Registro Presupuestario de empleo propio 10/01/2018

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