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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CCA-0227A | Self-Employment Monthly Income Log | 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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CCA-0227A-S | Registro Mensual de Ingresos por Cuenta Propia | 03/01/2023 |
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Statistical Bulletin January 2023 | Statistical Bulletin January 2023 | 02/28/2023 |
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Arizona Legislative District Demographics Handbook 2022 | Arizona Legislative District Demographics Handbook 2022 | 02/15/2023 |
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SPP-APR-C FFY2021 | State Performance Plan / Annual Performance Report: Part C FFY 2021 | 02/03/2023 |
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DDD-2174A | Request for Restriction 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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LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
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DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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DDD-1532A | Hardship Reduction Request (English) | 09/01/2019 |
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DDD-1532A-S | Hardship Reduction Request (Spanish) | 09/01/2019 |
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DDD-0524A | Authorization for Release of Information (English) | 08/01/2019 |
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DDD-1328A | Referral to Vocational Rehabilitation (English) | 08/01/2019 |
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RSA-1376A | Request for Vending Services Placement | 08/01/2019 |
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UIB-0098A | Eligibility Investigation Record | 08/01/2019 |
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DDD-1328B | Referral to Vocational Rehabilitation Packet (English) | 08/01/2019 |
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UIA-1060A | Filing of Weekly Claims (English/Spanish) | 08/01/2019 |
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AAA-1122A | Host Agency Application | 08/01/2019 |
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DDD-0524A-S | Authorization for Release of Information (Spanish) | 08/01/2019 |
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