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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30th Month August 2023 | 30th Month Financial Report FY 2024 through August 2023 | 10/03/2023 |
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GCI-1184A-RA-PD | AzEIP TBEIS Billing Manual October 1, 2023 (English) | 10/01/2023 |
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CCA-0229A-FY24 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2024 (English/Spanish) | 10/01/2023 |
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DDD-1856A | Supported Living Planning Guide (English) | 10/01/2023 |
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FAA-1847A | Electronic Benefit Theft Replacement Request Form (English) | 10/01/2023 |
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DDD-0195B | DDD Member Rights and Responsibilities (English) | 10/01/2023 |
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FAA-1847A-S | Electronic Benefit Theft Replacement Request Form (Spanish) | 10/01/2023 |
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DDD-1856A-S | Supported Living Planning Guide (Spanish) | 10/01/2023 |
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DDD-0191A | DDD Incident Report (English) | 10/01/2023 |
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FAA-1842A-S | Remplazo de Beneficios de Asistencia Nutricional (NA) - Alimentos Destruidos en un Desastre o Desgracia | 10/01/2023 |
Download | Number | Name | Effective Date |
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FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
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FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
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FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
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FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
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CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
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FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
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GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
WIO-1170B | STAR Method for Interviewing (SCC) | 05/01/2022 |
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CCA-1275A-S | Preschool Suspension and Expulsion Support for Families (Spanish) | 05/01/2022 |
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WIO-1161A | Addressing Weaknesses | 05/01/2022 |
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WIO-1171A | Strengths | 05/01/2022 |
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WIO-1161B | Addressing Weaknesses (SCC) | 05/01/2022 |
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WIO-1162B | Arizona Job Connection (SCC) | 05/01/2022 |
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WIO-1171B | Strengths (SCC) | 05/01/2022 |
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WIO-1162A | Arizona Job Connection | 05/01/2022 |
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WIO-1163A | Attitude | 05/01/2022 |
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WIO-1172A | Telephone Etiquette | 05/01/2022 |
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