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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RRP-1015A-Rohingya (Latin) | Statement of Understanding (Rohingya (Latin)) | 08/01/2023 |
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APS-1032A | Authorization to Release Non-HIPAA Information Form | 08/01/2023 |
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UC-522-FF | Adjustment Report (English) | 08/01/2023 |
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ADDPC-2225A | Pathways to the Future: Career and Technical Education | 08/01/2023 |
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RRP-1015A-Russian | Statement of Understanding (Russian) | 08/01/2023 |
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DDD-1426A | Request for Incontinence Briefs for Members Ages 3 and Above (English) | 08/01/2023 |
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DDD-2236A | Qualified Vendor Application Approval (English) | 08/01/2023 |
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AAA-1301A-S | Adult Protective Services (APS) Records Request Form (Spanish) | 08/01/2023 |
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RRP-1015A-S | Statement of Understanding (Spanish) | 08/01/2023 |
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ADDPC-2226A | Pathways to the Future: Apprenticeships | 08/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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DDD-2176A | Residency Agreement (English) | 03/01/2023 |
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RSA-1305A-S | Pre-Employment Transition Services Request Form for Students with Disabilities (Spanish) | 03/01/2023 |
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DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
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DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
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DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
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DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
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LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
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DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
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LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1208A-LP | Language Notification Flyer (Large Print) | 02/01/2021 |
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AAA-1364A-S | Preguntas frecuentes sobre el Programa de Reembolso para Cuidadores Familiares de Arizona | 02/01/2021 |
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FAA-1208A | Language Notification Flyer | 01/01/2021 |
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Arizona County Demographics Handbook 2020 | Arizona County Demographics Handbook 2020 | 12/22/2020 |
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RSA-1242A-S | Transición con la Rehabilitación Vocacional | 12/01/2020 |
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SNA-1060A | Supplemental Nutrition Assistance -Employment and training Program | 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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