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You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services. 

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  1. Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down. 
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Number Document Name Effective Date
CCA-0221A Family Child Care Provider Statement of Services 05/01/2023
FAA-1494A-LP Authorized Representative Removal (Large Print) 05/01/2023
FAA-1353A Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance 05/01/2023
FAA-1353A-S Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional 05/01/2023
FAA-1768A-S Formulario de Solicitud de Reducción de Pago en Exceso 05/01/2023
AzEIP-TAB-05012023 Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin 05/01/2023
FAA-1565A-S Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional 05/01/2023
FAA-1799A Drug/Alcohol Treatment Center Training Acknowledgment 05/01/2023
CCA-0221A-S Declaración de Servicios del Proveedor de Cuidado en Casa de Familia 05/01/2023
FAA-1725A Verification of Other Income 05/01/2023

Number Document Name Effective Date
CCA-0206A-S Cuestionario para la Entrevista de Certificación Inicial 07/01/2019
UB-099-Y Certification of Understanding (English / Spanish) 07/01/2019
LCR-1007A Home Visit Report Supplement to Notice of Inspection and Due Process Rights 07/01/2019
CCA-1260A-S Solicitud de Proveedor Suplente 07/01/2019
LCR-1007A-S Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso 07/01/2019
CCA-1261A-S Solicitud de Proveedor Certificado de Cuidado de Niños Familiar 07/01/2019
GCI-1049A No Contact Letter 07/01/2019
CCA-1260A Back Up Provider Application 07/01/2019
CCA-1261A Certified Family Child Care Provider Application 07/01/2019
RSA-1367A Appeal Rights 06/01/2019

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