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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CSE-1290A-S | Declaración del Cuidador Referente a la Custodia Física de un Menor o Menores | 10/01/2023 |
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DDD-0191A | DDD Incident Report (English) | 10/01/2023 |
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EEA-1005A | 2023 Pinal County Roundtable for Agricultural Employers (English) | 10/01/2023 |
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AAA-1182A | Arizona Nutrition, Food Service and Wellness Manual (English) | 10/01/2023 |
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AG-119 | Nutritional Health Screening Tool (English) | 10/01/2023 |
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ESA-1314B | Notification of Complaint to Employer | 10/01/2023 |
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AG-119-S | Nutritional Health Screening Tool (Spanish) | 10/01/2023 |
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ESA-1314B-S | Notificación de Queja al Empleador | 10/01/2023 |
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DDD-0195B | DDD Member Rights and Responsibilities (English) | 10/01/2023 |
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FAA-1847A | Electronic Benefit Theft Replacement Request Form (English) | 10/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1506A | Statement of No Income (English) | 05/01/2023 |
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FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
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FAA-1765A | Authority to Release Information | 05/01/2023 |
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DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
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FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
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CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
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FAA-0412A | Change Report (English) | 05/01/2023 |
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FAA-1494A | Authorized Representative Removal | 05/01/2023 |
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FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
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FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
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