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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DDD-2242A | Authorization for Transmission of Protected Health Information Via Unsecured Email | 09/01/2023 |
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GCI-1143A | AzEIP Transition Timeline (English) | 09/01/2023 |
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DDD-2114A | Application for Redetermination of Eligibility at Age 18 (English) | 09/01/2023 |
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HRA-1159A | State of Arizona Employee Benefits / How to Apply for Positions with the State of Arizona (English) | 09/01/2023 |
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FAA-1573A-LP | Your Rights and Responsibilities (Large Print) | 09/01/2023 |
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FAA-1760A-S | Cambios - Lo que tiene que saber | 09/01/2023 |
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HRA-1159A-S | State of Arizona Employee Benefits / How to Apply for Positions with the State of Arizona (Spanish) | 09/01/2023 |
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CCA-0046A | DES Child Care Services Information (English/Spanish) | 09/01/2023 |
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FAA-1573A-SLP | Sus Derechos y Responsabilidades (Letra Grande) | 09/01/2023 |
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FAA-1858A | Able-Bodied Adults Without Dependents (ABAWD) Changes | 09/01/2023 |
Download | Number | Name | Effective Date |
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CCA-1311A-S | Arizona Education Workforce Scholarship Program Application (Spanish) | 03/01/2023 |
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CCA-1312A-S | Acuerdo del Proveedor/Padre/Madre/Tutor Acerca de los Costos de Cuidado de Niños No Cubiertos por el DES | 03/01/2023 |
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DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
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DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
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DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
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WIO-1108A | WIOA EO Monitoring Review Guide (English) | 02/01/2023 |
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FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
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DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
SNA-1060A | Supplemental Nutrition Assistance -Employment and training Program | 12/01/2020 |
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RSA-1242A-S | Transición con la Rehabilitación Vocacional | 12/01/2020 |
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RSA-1242A-LP | Vocational Rehabilitation Transition (Large Print) | 12/01/2020 |
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RSA-1242A-SLP | Transición con la Rehabilitación Vocacional (Letra Grande) | 12/01/2020 |
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SNA-1060B | Supplemental Nutrition Assistance -Employment and training Program | 12/01/2020 |
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SNA-1060C | Supplemental Nutrition Assistance -Employment and training Program | 12/01/2020 |
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CSE-1051A | How to Apply for IV-D Child Support Services (English) | 11/01/2020 |
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CSE-1051A-S | How to Apply for IV-D Child Support Services (Spanish) | 11/01/2020 |
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CCA-0626A-S | Parientes como Proveedores No Certificados de Cuidado de Niños | 10/01/2020 |
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VR-1005A | Arizona Employer Toolkit | 10/01/2020 |
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