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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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Number Document Name Effective Date
CSE-1061A-S Establecer la Paternidad 05/01/2023
AzEIP-TAB-05012023 Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin 05/01/2023
GCI-1041A Consent to Bill Health Insurance 05/01/2023
FAA-0559A Food Distribution / Nutrition Assistance Program Participation 05/01/2023
FAA-1353A-S Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional 05/01/2023
FAA-1701A-LP Verification of Terminated Employment - Large Print (English) 05/01/2023
FAA-0098C-S Solicitud de Audiencia por Ajuste de Transacción EBT 05/01/2023
FAA-1249A-XLP Verification of Disability (Extra Large Print) 05/01/2023
FAA-0620A Treatment Center Change Report 05/01/2023
FAA-1506A Statement of No Income (English) 05/01/2023

Number Document Name Effective Date
GCI-1084A Hearing Screening Tracking (English) 06/01/2020
GCI-1118A Arizona Early Intervention Program Non-DES Employee Training Planning and Tracking Form (English) 06/01/2020
GCI-1084A-S Hearing Screening Tracking (Spanish) 06/01/2020
GCI-1039AS Autorización para Obtener Información 05/01/2020
GCI-1020A Authorization to Disclose Protected Health Information 05/01/2020
AAA-1355A APS Registry Employer Certification Form 05/01/2020
GCI-1039A Consent to Obtain Information 05/01/2020
CCA-1268A Scholarship Reimbursement Rates 04/01/2020
ESA-1126A Cancellation of Direct Deposit (English) 04/01/2020
ESA-1126A-S Cancellation of Direct Deposit (Spanish) 04/01/2020

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