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-1847A-SXLP | Electronic Benefit Theft Replacement Request Form - Extra Large Print (Spanish) | 10/01/2023 |
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CSE-1290A | Caretakers Statement Regarding Physical Custody of a Child | 10/01/2023 |
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CSE-1290A-S | Declaración del Cuidador Referente a la Custodia Física de un Menor o Menores | 10/01/2023 |
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DDD-0195B | DDD Member Rights and Responsibilities (English) | 10/01/2023 |
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RRP-1015A | Statement of Understanding | 10/01/2023 |
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ESA-1314B | Notification of Complaint to Employer | 10/01/2023 |
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CCA-0229A-FY24 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2024 (English/Spanish) | 10/01/2023 |
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UB-106A | Weekly Claim for Unemployment Insurance (UI) Benefits (English) | 10/01/2023 |
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AAA-1418A | Family Caregiver Support Program Reporting Matrix | 10/01/2023 |
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CSE-1158A | Request for Review of Arrears (English) | 10/01/2023 |
Download | Number | Name | Effective Date |
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FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
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CCA-0221A | Family Child Care Provider Statement of Services | 05/01/2023 |
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FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
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GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
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FAA-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
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FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
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FAA-0257A | Individual Development Account Agreement | 05/01/2023 |
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FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
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FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
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FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
Download | Number | Name | Effective Date |
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SSBG Plan 2016-2017 | Social Services Block Grant Plan 2016-2017 | 07/01/2016 |
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Statistical Bulletin May 2016 | Statistical Bulletin May 2016 | 06/10/2016 |
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30th Month Apr-2016 | 30th Month Report April Fiscal Year 2016 | 06/09/2016 |
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30th Month Mar-2016 | 30th Month Report March Fiscal Year 2016 | 06/07/2016 |
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SNA State Plan 2016 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2016 | 06/01/2016 |
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Statistical Bulletin April 2016 | Statistical Bulletin April 2016 | 05/10/2016 |
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WIA-1046A | Arizona PY 14 WIA Title I-B Annual Report | 05/01/2016 |
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Arizona PY 14 WIA Title I-B Annual Report | WIA 2014 Annual Report | 05/01/2016 |
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WIA 2014 Annual Report | Arizona PY14 WIA Title I-B Annual Report | 05/01/2016 |
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Statistical Bulletin March 2016 | Statistical Bulletin March 2016 | 04/13/2016 |
Download | Number | Name | Effective Date |
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WIO-1174B | Veterans (SCC) | 05/01/2022 |
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CCA-1275A-S | Preschool Suspension and Expulsion Support for Families (Spanish) | 05/01/2022 |
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AAA-1304A | Home and Community Based Services (English) | 05/01/2022 |
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APS-1000A | Adult Protective Services | 05/01/2022 |
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WIO-1167A | Interview Questions | 05/01/2022 |
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AAA-1289A | Family Caregiver Support Program (English) | 05/01/2022 |
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WIO-1161A | Addressing Weaknesses | 05/01/2022 |
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WIO-1167B | Interview Questions (SCC) | 05/01/2022 |
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WIO-1161B | Addressing Weaknesses (SCC) | 05/01/2022 |
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WIO-1168A | Keeping Your Job | 05/01/2022 |
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