You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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DDD-1984A-S | Behavior Plan / Packet Requirements (Spanish) | 11/01/2021 |
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DDD-0195B-S | DDD Member Rights and Responsibilities (Spanish) | 11/01/2021 |
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DES-1235A | Caregiver Resource Guide (English) | 11/01/2021 |
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DDD-2013A-S | Opciones de servicios residenciales | 12/01/2021 |
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DDD-1857A | Residential Services Option Comparison | 12/01/2021 |
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DDD-1857A-S | Comparación de opciones de servicios residenciales | 12/01/2021 |
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DDD-2013A | Residential Service Options | 12/01/2021 |
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DDD-1986A | PRC Contact Information (English) | 01/01/2022 |
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DDD-1986A-S | PRC Contact Information (Spanish) | 01/01/2022 |
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DDD-2113A-S | DDD-EVV Member Contingency / IP Model Back-up Plan (Spanish) | 01/01/2022 |
Download | Number | Name | Effective Date |
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DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
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LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
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LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
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DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
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DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
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DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
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LCR-1064A | Statement of Understanding-Application for HCBS Certification | 03/01/2023 |
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LCR-1064A-S | Declaración de Entendimiento Solicitud de Certificación para HCBS | 03/01/2023 |
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DDD-1747A | Assisted Living Facility (ALF) Residential Facility (English) | 03/01/2023 |
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DDD-2176A | Residency Agreement (English) | 03/01/2023 |
Download | Number | Name | Effective Date |
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Statistical Bulletin September 2016 | Statistical Bulletin September 2016 | 10/19/2016 |
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WIOA 2015 Annual Report | Arizona PY15 WIOA Title I-B Annual Report | 10/25/2016 |
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30th Month Jul-2016 | 30th Month Report July Fiscal Year 2017 | 10/27/2016 |
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30th Month Aug-2016 | 30th Month Report August Fiscal Year 2017 | 10/27/2016 |
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GCBVI 2016 | Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report SFY 2016 | 11/07/2016 |
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Statistical Bulletin October 2016 | Statistical Bulletin October 2016 | 11/22/2016 |
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6AAC12 | Five-Year Review Report – Cash Assistance Program | 11/30/2016 |
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30th Month Sep-2016 | 30th Month Report September Fiscal Year 2017 | 11/30/2016 |
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30th Month Oct-2016 | 30th Month Report October Fiscal Year 2017 | 12/21/2016 |
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Statistical Bulletin November 2016 | Statistical Bulletin November 2016 | 12/29/2016 |
Download | Number | Name | Effective Date |
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VR-1018A-SLP | Rehabilitación Vocacional (VR) (Letra Grande) | 09/01/2021 |
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CCA-1294A | Provider Registration Agreement Tutorial (English) | 09/01/2021 |
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CCA-1294A-S | Provider Registration Agreement Tutorial (Spanish) | 09/01/2021 |
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DDD-2025A | DDD Tribal Health Program Fee-for-Service Claims Submission Guide | 10/01/2021 |
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WIC Outreach | Arizona WIC Outreach State Flyer | 10/01/2021 |
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DES-1222A | Recognize, Report and Prevent Abuse, Neglect, and Exploitation | 10/01/2021 |
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Guía de Referencia de WIC | Guía de Referencia de WIC de Arizona | 10/01/2021 |
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DES-1222A-S | Reconocer, Denunciar y Prevenir el Abuso, la Negligencia y la Explotación | 10/01/2021 |
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DES-1235A | Caregiver Resource Guide (English) | 11/01/2021 |
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WIO-1153A | Need Help Finding A Job | 11/01/2021 |
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