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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EAP-1006A | LIHEAP Portable Fuel Certification (English) | 11/01/2023 |
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UB-106-T-I | Completion Instructions for Approved Training Continued Claim, UB-106-T (English) | 11/01/2023 |
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DDD-2256A | Support Coordination (English/Spanish) | 11/01/2023 |
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FAA-1530A-XLP | Nutrition Assistance Able Bodied Adult Without Dependents (ABAWD) Time Limits - Extra Large Print (English) | 11/01/2023 |
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UB-106-T-I-S | Completion Instructions for Approved Training Continued Claim, UB-106-T (Spanish) | 11/01/2023 |
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FAA-1530A-SXLP | Nutrition Assistance Able Bodied Adult Without Dependents (ABAWD) Time Limits - Extra Large Print (Spanish) | 11/01/2023 |
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RRP-1017A | Program Participants Application for Recertification (English) | 11/01/2023 |
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GCI-1186A | Autism Screenings AzEIP Programmatic Meeting - October 2023 (English) | 11/01/2023 |
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DDD-2249A-S | Age 6 Redetermination Packet (Spanish) | 11/01/2023 |
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RRP-1018A | Client Employment & Income Attestation Form (English) | 11/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
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DDD-2207A | Quick Reference Guide - AHCCCS Eligibility Redeterminations (English/Spanish) | 06/01/2023 |
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FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
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FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
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CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
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FAA-1440A-S | Cash Assistance Benefit Limit Extension Request (Spanish) | 06/01/2023 |
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CCA-1105A-S | Encuesta de reclamante fiscal | 06/01/2023 |
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FAA-1529A | Verification of Volunteers Hours | 06/01/2023 |
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FAA-1493A-SXLP | Authorized Representative Request - Extra Large Print (Spanish) | 06/01/2023 |
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FAA-1440A-SLP | Cash Assistance Benefit Limit Extension Request - Large Print (Spanish) | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-0640A | How DDD Eligibility is Determined (English) | 11/01/2022 |
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VR-1009A-S | Manual del Cliente de Rehabilitación Vocacional | 11/01/2022 |
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GCI-1093A-S | Lo que debe esperarse de Intervención Temprana basada en equipo | 11/01/2022 |
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DDD-0640A-S | How DDD Eligibility is Determined (Spanish) | 11/01/2022 |
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VR-1009A-SLP | Manual del Cliente de Rehabilitación Vocacional (Letra grande) | 11/01/2022 |
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ETA-086 | Disaster Unemployment Assistance Handbook | 10/01/2022 |
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ESA-1184A | Employment Services for Veterans | 10/01/2022 |
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ESA-1060A | Need Help Finding a Job? | 10/01/2022 |
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AAA-1035A-NAVAJO | Arizona Long-Term Care Ombudsman Program (Navajo) | 10/01/2022 |
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DDD-2139A | Exhibitor DDD Volunteerism Community Fair | 10/01/2022 |
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