You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
DDD-0524A-S | Authorization for Release of Information (Spanish) | 08/01/2019 |
DDD-2242A | Authorization for Transmission of Protected Health Information Via Unsecured Email | 09/01/2023 |
DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
DES-1059A | Authorization to Release Information (English/Spanish) | 09/01/2018 |
APS-1032A | Authorization to Release Non-HIPAA Information Form (English) | 08/01/2023 |
APS-1032A-S | Authorization to Release Non-HIPAA Information Form (Spanish) | 08/01/2023 |
DDD-2149A | Authorization to Release Records | 08/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
DDD-1370A-S | Información Sobre el Menor | 07/01/2018 |
LDU-1003A-S | Información Sobre una Disputa Laboral | 12/01/2022 |
UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
GCI-1043A-S | Informe De Evaluación Del Desarrollo | 04/01/2023 |
CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
LCR-1007A-S | Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso | 07/01/2019 |
SNA-1046A-S | Informe Mensual de Actividades Laborales (Monthly Work Activity Report) | 05/01/2019 |
ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
LCR-1054A | Initial Application Worksheet | 10/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
Arizona PY 14 WIA Title I-B Annual Report | WIA 2014 Annual Report | 05/01/2016 |
WIOA 2017 Annual Report | WIOA Annual Statewide Performance Report for Title I and Title III for PY-2017 | 03/14/2019 |
WIO-1082A | WIOA Title I Program Year 16 Annual Report | 08/29/2018 |
WIA 2009 | Workforce Investment Act - 2009 Annual Report | 10/01/2010 |
Number | Document Name | Effective Date |
---|---|---|
UIB-1267A-S | Unemployment Insurance Benefits for Federal Employees Impacted by the Federal Government Shutdown (Spanish) | 11/01/2023 |
AzEIP-TAB-11302023 | Updated AzEIP Early Intervention Contact Log (GCI-1094A) and Policy Reminders Technical Assistance Bulletin | 11/30/2023 |
AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
DDD-1745A | Vehicle Safety Buckle Up - Q&A's (English) | 05/01/2016 |
DDD-1745A-S | Vehicle Safety Buckle Up - Q&A's (Spanish) | 06/01/2016 |
WIO-1174A | Veterans | 05/01/2022 |
WIO-1174B | Veterans (SCC) | 05/01/2022 |
ESA-1184D | Veteran’s Priority of Service ID Card | 12/01/2022 |
ESA-1362A | Virtual Appointment Scheduler | 04/01/2021 |
CSE-1246A-S | Visión General del Programa de Servicios de Sustento para Menores | 01/01/2020 |
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