You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
GCI-1154A | AzEIP Cover Sheet - DDD Application for Eligibility Determination | 12/01/2023 |
UIB-1240A-S | A Guide to Arizona UI Benefits (Spanish) | 12/01/2023 |
UIT-1275A | Tips for Navigating the UI Tax Phone System (English) | 12/01/2023 |
UIT-0603A (FY2024) | Unemployment Insurance Tax Rate Chart - FY 2024 (English) | 12/01/2023 |
GCI-1107A | Inclusion for ALL Children (English) | 12/01/2023 |
GCI-1107A-S | Inclusion for ALL Children (Spanish) | 12/01/2023 |
UIT-0603A (FY18-23) | Unemployment Insurance Tax Rates for Previous Years (English) | 12/01/2023 |
FAA-1097A | Foster Care Age Out Referral Form (English) | 12/01/2023 |
AzEIP-TAB-12012023 | Informed Written Consent on the Individualized Family Service Plan (IFSP) Technical Assistance Bulletin - 12/01/2023 | 12/01/2023 |
AzEIP-TAB-11302023 | Updated AzEIP Early Intervention Contact Log (GCI-1094A) and Policy Reminders Technical Assistance Bulletin | 11/30/2023 |
Number | Document Name | Effective Date |
---|---|---|
DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers (English) | 02/01/2023 |
DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
LCR-1084A-S | Application for Renewal or Amended HCBS Certificate for Independent Providers (Spanish) | 02/01/2023 |
DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
SNA-1060C | Supplemental Nutrition Assistance -Employment and training Program | 12/01/2020 |
CSE-1051A | How to Apply for IV-D Child Support Services (English) | 11/01/2020 |
CSE-1051A-S | How to Apply for IV-D Child Support Services (Spanish) | 11/01/2020 |
VR-1005A | Arizona Employer Toolkit | 10/01/2020 |
CCA-0626A | Non-Certified Relative Child Care Provider | 10/01/2020 |
CCA-0626A-S | Parientes como Proveedores No Certificados de Cuidado de Niños | 10/01/2020 |
DDD-2082A | Report Suspected Abuse, Neglect or Exploitation | 09/01/2020 |
DDD-2082A-S | Reportando Sospechas de Abuso, Negligencia, o Explotación | 09/01/2020 |
DDD-2073A | Long Term Care / Home and Community Based Services Claims Submission Guide | 09/01/2020 |
WIO-1121A | Connecting Business with Job Seekers | 08/01/2020 |
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