You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
RRP-1017A | Program Participants Application for Recertification (English) | 11/01/2023 |
DDD-2076A | DDD Health Plan Care Management Referral (English) | 11/01/2023 |
GCI-1186A | Autism Screenings AzEIP Programmatic Meeting - October 2023 (English) | 11/01/2023 |
EAP-1006A | LIHEAP Portable Fuel Certification (English) | 11/01/2023 |
RRP-1018A | Client Employment & Income Attestation Form (English) | 11/01/2023 |
GCI-1185A | Transition AzEIP Programmatic Meeting (English) | 11/01/2023 |
DDD-2252A | What is Employment First? (English/Spanish) | 11/01/2023 |
RSA-1437A | Annual American Indian Disability Summit (English) | 11/01/2023 |
RSA-1385A | BEP Guide for New VR Clients | 11/01/2023 |
DDD-2249A-S | Age 6 Redetermination Packet (Spanish) | 11/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers (English) | 02/01/2023 |
FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
LCR-1084A-S | Application for Renewal or Amended HCBS Certificate for Independent Providers (Spanish) | 02/01/2023 |
DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
Arizona County Demographics Handbook 2020 | Arizona County Demographics Handbook 2020 | 12/22/2020 |
RSA-1242A-LP | Vocational Rehabilitation Transition (Large Print) | 12/01/2020 |
RSA-1242A-SLP | Transición con la Rehabilitación Vocacional (Letra Grande) | 12/01/2020 |
SNA-1060B | Supplemental Nutrition Assistance -Employment and training Program | 12/01/2020 |
SNA-1060C | Supplemental Nutrition Assistance -Employment and training Program | 12/01/2020 |
RSA-1242A | Vocational Rehabilitation Transition | 12/01/2020 |
RSA-1242A-S | Transición con la Rehabilitación Vocacional | 12/01/2020 |
SNA-1060A | Supplemental Nutrition Assistance -Employment and training Program | 12/01/2020 |
CSE-1051A | How to Apply for IV-D Child Support Services (English) | 11/01/2020 |
CSE-1051A-S | How to Apply for IV-D Child Support Services (Spanish) | 11/01/2020 |
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