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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FAA-1513A-LP | Time Savings Tips (Large Print) | 07/01/2023 |
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FAA-1818A | Nutrition Assistance (NA) Medical Expense Deduction | 07/01/2023 |
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FAA-1714A-S | Mid Approval Contact - Lobby (Spanish) | 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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LCR-1028A | Agency Roster of Employees (English) | 07/01/2023 |
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FAA-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
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CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care | 07/01/2023 |
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CCA-1198A | Acknowledgement of Receipt and Understanding | 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 |
Download | Number | Name | Effective Date |
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DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
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HRP-1028A | Application for Benefits (TEFAP, CSFP) | 08/01/2022 |
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BEP-1010A | Operator Out of State and Instate Travel Procedure | 08/01/2022 |
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HRP-1032A | Commodity Senior Food Program (CSFP) Informal Dispute Resolution Meeting / Fair Hearing Request | 08/01/2022 |
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FAA-1570A-S | Acuerdo de Sanción de Asistencia en efectivo (CA) por condena de drogas | 08/01/2022 |
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DDD-2149A | Authorization to Release Records | 08/01/2022 |
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FAA-1828A | Provider Determination (English) | 08/01/2022 |
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HRP-1041A | Commodity Senior Food Program (CSFP) Waiting List Enrollment Notification | 08/01/2022 |
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GCI-1147B | Records Request Response (Contractors) | 08/01/2022 |
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HRP-1028A-S | Solicitud para Beneficios (TEFAP, CSFP) | 08/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
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PAD-465-C | Definitions for AHCCCS Members | 01/01/2018 |
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HRP-1024A | SNAP Information Brochure | 11/01/2017 |
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HRP-1044A | CSFP Information Brochure | 11/01/2017 |
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DDD-1700A-S | Keep Your Baby Healthy (Spanish) | 08/14/2017 |
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GCI-1102A | AzEIP Child and Family Outcomes- Accessible | 06/01/2017 |
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GCI-1102A-S | Evaluaciones de los Resultados de los Niños y las Familias - Accessible | 06/01/2017 |
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DDD-1836A | Safety Information Fact Sheet #6 | 06/01/2017 |
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DDD-1807ACRD | Volunteer with a Human Rights Committee (Card) | 03/01/2017 |
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DDD-1807ACRD-S | Volunteer with a Human Rights Committee (Card Spanish) | 03/01/2017 |
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DIR-1022C | DES on the GO | 01/01/2017 |
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