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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LCR-1041A | Voluntary Withdrawal of Application for Licensure or Voluntary Closure of License | 07/01/2023 |
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CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care | 07/01/2023 |
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FAA-1642A | Continued Child Support Services (English/Spanish) | 07/01/2023 |
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FAA-1415A-SLP | Illegal Drug Use Statement - Large Print (Spanish) | 07/01/2023 |
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LCR-1041A-S | Retiro Voluntario de la Solicitud de Licenciamiento o Cierre Voluntario de Licencia | 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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FAA-1415A-LP | Illegal Drug Use Statement - Large Print (English) | 07/01/2023 |
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FAA-1825A | Elderly Simplified Application Project (ESAP) Flyer | 07/01/2023 |
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DDD-1783A | Habilitation Outcome Strategies (English) | 07/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1200A-S | About Me Questionnaire (Spanish) | 11/01/2022 |
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CCA-1200A | About Me Questionnaire (English) | 11/01/2022 |
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DDD-2069A-S | DDD Eligibility Packet (Spanish) | 11/01/2022 |
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DDD-1972A | Application for Eligibility Determination Packet (English) | 11/01/2022 |
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DDD-2069A | DDD Eligibility Packet (English) | 11/01/2022 |
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DDD-1991A-S | DDD Eligibility Checklist (Spanish) | 10/01/2022 |
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GCI-1147A | Records Request Response (AzEIP) | 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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LCR-1005A-S | Aviso de los Derechos Durante Inspección | 10/01/2022 |
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CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
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