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-0465A | Arizona Long Term Care System (ALTCS) Member Handbook (English) | 02/01/2024 |
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DDD-1987A-S | Team Agreement of Behavior Treatment Plan (Spanish) | 02/01/2024 |
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DDD-0465A-S | Arizona Long Term Care System (ALTCS) Member Handbook (Spanish) | 02/01/2024 |
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UB-105-S | Arizona Initial Claim for Unemployment Insurance (Spanish) | 02/01/2024 |
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GCI-1188A | AzEIP Job Aid Service Coordinator Monthly Family Contact (English) | 02/01/2024 |
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DDD-2116A | Community Resource Guide (English) | 02/01/2024 |
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HRP-1037A | Commodity Senior Food Program (CSFP) Recertification Notice (English) | 02/01/2024 |
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GCI-1194A-S | You can be a Developmental Special Instructionist (Spanish) | 02/01/2024 |
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DDD-2116A-S | Community Resource Guide (Spanish) | 02/01/2024 |
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GCI-1195A-S | You can be a Service Coordinator (Spanish) | 02/01/2024 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
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FAA-1145A | Authorization to Share Information (English/Spanish) | 07/01/2023 |
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FAA-1415A-LP | Illegal Drug Use Statement - Large Print (English) | 07/01/2023 |
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GCI-1163A | FFY 2021 Correction of NonCompliance Guidance | 07/01/2023 |
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FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
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ESA-1306A | Employment Service Registration | 07/01/2023 |
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CCA-1190A | Tribal New Child Care Referral | 07/01/2023 |
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CCA-0208A | Provider/Parent/Guardian's Agreement for Child Care Charges (English) | 07/01/2023 |
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CCA-1198A | Acknowledgement of Receipt and Understanding | 07/01/2023 |
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ESA-1306A-S | Inscripción con el Servicio de Empleo | 07/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1713A-S | DDD Customer Service Center (Spanish) | 06/01/2023 |
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DBS-1085B-S | AZ ABLE Card (Spanish) | 06/01/2023 |
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DBS-1085B | AZ ABLE Card (English) | 06/01/2023 |
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FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2023 |
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FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
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FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
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FAA-1055A-S | ¡HAGA CORRER LA VOZ! | 06/01/2023 |
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FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
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AzEIP-TAB-05112023 | Transition Technical Assistance Bulletin | 05/11/2023 |
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DDD-2131B | Volunteers Needed/ Necesitan Voluntarios | 05/01/2023 |
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