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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FAA-0620C | Treatment Center Monthly Roster | 07/01/2023 |
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DDD-0308A | Individual Emergency Information - Residential | 07/01/2023 |
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CCA-1176A-S | Declaración Jurada del Padre o Tutor por Cuidado de Niños no Remunerado | 07/01/2023 |
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GCI-1148A-S | Directory of Early Intervention Programs (Spanish) | 07/01/2023 |
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FAA-1145A | Authorization to Share Information (English/Spanish) | 07/01/2023 |
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PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
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ESA-1306A-S | Inscripción con el Servicio de Empleo | 07/01/2023 |
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FAA-1415A | Illegal Drug Use Statement (English) | 07/01/2023 |
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FAA-1492A-S | Representantes Autorizados - Derechos y Responsabilidades | 07/01/2023 |
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FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
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DDD-1747A-S | Contrato De Residencia Para Las Residencias De Vivienda Asistida (ALF) | 10/01/2022 |
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CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
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CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
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LCR-1054A | Initial Application Worksheet | 10/01/2022 |
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CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
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GCI-1147A | Records Request Response (AzEIP) | 10/01/2022 |
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LCR-1005A-S | Aviso de los Derechos Durante Inspección | 10/01/2022 |
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DDD-1991A | DDD Eligibility Checklist (English) | 10/01/2022 |
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LCR-1005A | Notice of Inspection Rights | 10/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
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CCA-1251A | Start or Grow you Child Care Business | 10/01/2019 |
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CSE-1043A-S | Lo Que Todos Los Padres Deben Saber Sobre el Establecimiento de la Paternidad | 10/01/2019 |
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RSA-1385A | BEP Guide for New VR Clients | 09/01/2019 |
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AAA-1138A | Community Action Services | 09/01/2019 |
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Escalation Criteria for Contract Action Unit Review | Escalation Criteria for Contract Action Unit Review | 08/26/2019 |
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POU-003 | Notice to Employees (English) | 08/01/2019 |
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POU-003-S | Notice to Employees (Spanish) | 08/01/2019 |
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UIB-1241A | Take Care of Unemployment Business by the Internet or Telephone (English) | 08/01/2019 |
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UIB-1241A-S | Take Care of Unemployment Business by the Internet or Telephone (Spanish) | 08/01/2019 |
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CSE-1251A | Fact Sheet for Minor Parents (English/Spanish) | 07/01/2019 |
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