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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GCI-1157B | Record Review Report (English) | 05/01/2024 |
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GCI-1050A-S | AzEIP Prior Written Notice (Spanish) | 05/01/2024 |
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FAA-1045A-XLP | How to Use Your Arizona EBT Card - Extra Large Print (English) | 05/01/2024 |
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FAA-1045A-SXLP | How to Use Your Arizona EBT Card - Extra Large Print (Spanish) | 05/01/2024 |
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EAP-1002A-LP | LIHEAP Application - Large Print (English) | 05/01/2024 |
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FAA-1853A | Nutrition Assistance Programs for Eligible Participants - Color (English) | 05/01/2024 |
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DES-1139A | Services Provided by DES (English) | 05/01/2024 |
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FAA-1045A | How to Use Your Arizona EBT Card (English) | 05/01/2024 |
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DDD-2285A | Services While Traveling Out of State (English) | 05/01/2024 |
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FAA-1821A | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application (English) | 05/01/2024 |
Download | Number | Name | Effective Date |
---|---|---|---|
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UIT-0603A (FY18-23) | Unemployment Insurance Tax Rates for Previous Years (English) | 12/01/2023 |
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FAA-1097A | Foster Care Age Out Referral Form (English) | 12/01/2023 |
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DDD-2076A | DDD Health Plan Care Management Referral (English) | 11/01/2023 |
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FAA-1530A-LP | Nutrition Assistance Able Bodied Adult Without Dependents (ABAWD) Time Limits - Large Print (English) | 11/01/2023 |
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FAA-1530A-SLP | FAA-1530A-XLP - Nutrition Assistance Able Bodied Adult Without Dependents (ABAWD) Time Limits - Large Print (Spanish) | 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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UB-106-T-I-S | Completion Instructions for Approved Training Continued Claim, UB-106-T (Spanish) | 11/01/2023 |
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GCI-1094A | Early Intervention Contact Log (English) | 11/01/2023 |
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RRP-1017A | Program Participants Application for Recertification (English) | 11/01/2023 |
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RRP-1018A | Client Employment & Income Attestation Form (English) | 11/01/2023 |
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