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-1148A | Directory of Early Intervention Programs (English) | 07/01/2023 |
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FAA-1642A | Continued Child Support Services (English/Spanish) | 07/01/2023 |
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FAA-1513A-XLP | Time Savings Tips (Extra Large Print) | 07/01/2023 |
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FAA-1415A | Illegal Drug Use Statement (English) | 07/01/2023 |
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FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
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FAA-1775A | How Do I File a Complaint (English/Spanish) | 07/01/2023 |
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FAA-1818A | Nutrition Assistance (NA) Medical Expense Deduction | 07/01/2023 |
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CCA-1197A-S | Plan de Preparación y Respuesta en Caso de una Emergencia para los Proveedores de Hogar Certificado para el Cuidado de Niños | 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-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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GCI-1147A | Records Request Response (AzEIP) | 10/01/2022 |
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LCR-1005A | Notice of Inspection Rights | 10/01/2022 |
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DDD-1991A | DDD Eligibility Checklist (English) | 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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CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
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CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
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DDD-1991A-S | DDD Eligibility Checklist (Spanish) | 10/01/2022 |
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CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
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CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
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LCR-1054A | Initial Application Worksheet | 10/01/2022 |
Download | Number | Name | Effective Date |
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CSE-1043A-S | Lo Que Todos Los Padres Deben Saber Sobre el Establecimiento de la Paternidad | 10/01/2019 |
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DDD-1551A-Flyer | Medallion Program Flyer (English/Spanish) | 10/01/2019 |
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WIO-1127B | Probation Officer Referral | 10/01/2019 |
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AAA-1138A | Community Action Services | 09/01/2019 |
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RSA-1385A | BEP Guide for New VR Clients | 09/01/2019 |
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Escalation Criteria for Contract Action Unit Review | Escalation Criteria for Contract Action Unit Review | 08/26/2019 |
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POU-003 | Notice to Employees (English) | 08/01/2019 |
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POU-003-S | Notice to Employees (Spanish) | 08/01/2019 |
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UIB-1241A | Take Care of Unemployment Business by the Internet or Telephone (English) | 08/01/2019 |
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UIB-1241A-S | Take Care of Unemployment Business by the Internet or Telephone (Spanish) | 08/01/2019 |
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