Renters and landlords impacted by the COVID-19 pandemic in twelve Arizona counties may now apply for rent and utility assistance through the Emergency Rental Assistance Program. Learn more.
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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
J-119-Single | Data Sharing Request/Agreement (Single Division) | 04/01/2021 |
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HRP-1037A-S | Aviso para Renovar la Certificación del Programa Suplementario de Comestiblés Básicos (CSFP) | 04/01/2021 |
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DDD-1436A | Behavioral Health Professional Consultation Summary | 04/01/2021 |
|
UIA-1069A | Application for Mixed Earners Unemployment Compensation | 04/01/2021 |
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UIA-1069A-S | Solicitud de Compensación por Desempleo de Asalariados Mixtos | 04/01/2021 |
|
HRP-1037A | Commodity Senior Food Program (CSFP) Recertification Notice | 04/01/2021 |
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FAA-1125A | Tribal/FAA - Turn Around Document (TAD) | 04/01/2021 |
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CCA-0208A | Provider/Parent/Guardian's Agreement for Child Care Charges | 04/01/2021 |
|
CCA-0208A-S | Acuerdo del Proveedor/Padre/Madre/Guardian - Acerca de los Costos de Cuidado de Niños | 04/01/2021 |
|
AAA-1345A | Arizona Family Caregiver Reimbursement Program Packet | 03/01/2021 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
30th Month February 2021 | 30th Month Financial Report FY 2021 through February 2021 | 03/29/2021 |
|
Statistical Bulletin February 2021 | Statistical Bulletin February 2021 | 03/29/2021 |
|
30th Month December 2020 | 30th Month Financial Report FY 2021 through December 2020 | 03/29/2021 |
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30th Month January 2021 | 30th Month Financial Report FY 2021 through January 2021 | 03/29/2021 |
|
Statistical Bulletin January 2021 | Statistical Bulletin January 2021 | 03/02/2021 |
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6AAC10 | Five-Year Review Report - The Jobs Program | 03/02/2021 |
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30th Month September 2020 | 30th Month Financial Report FY 2021 through September 2020 | 02/26/2021 |
|
30th Month October 2020 | 30th Month Financial Report FY 2021 through October 2020 | 02/26/2021 |
|
30th Month November 2020 | 30th Month Financial Report FY 2021 through November 2020 | 02/26/2021 |
|
CHRP Policy and Procedure Manual | Arizona Coordinated Hunger Relief - The Emergency Food Assistance Program (TEFAP) Commodity Senior Food Program (CSFP) Policy and Procedure Manual | 02/08/2021 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
VR-7.1 | 7.1 General Services | 03/31/2021 |
|
VR9.6 | 9.6 Treatments: Dental | 03/31/2021 |
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VR-12.4 | 12.4 Interpreting Services | 03/31/2021 |
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VR-15.5 | 15.5 Director Review of Fair Hearing Decisions | 03/31/2021 |
|
VR-2.8 | 2.8 Schedule A Documentation | 03/31/2021 |
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VR-7.6 | 7.6 Client Purchase Agreement | 03/31/2021 |
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VR-12.5 | 12.5 Personal Assistance Services | 03/31/2021 |
|
VR-16.1 | 16.1 Service Provider Requirements | 03/31/2021 |
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VR-2.9 | 2.9 Case Status | 03/31/2021 |
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VR-8.1 | 8.1 Assessments: General | 03/31/2021 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
DDD-2084A | Everyone has the right to be safe (Adult) | 04/01/2021 |
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DDD-2084B | Everyone has the right to be safe (Child) | 04/01/2021 |
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DDD-1260A-S | Navegando el Sistema | 04/01/2021 |
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ESA-1184A | Veterans' Priority of Services | 04/01/2021 |
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ESA-1184A-S | Prioridad de Servicio para los Veteranos | 04/01/2021 |
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ESA-1362SA-S | Programe una cita virtual | 04/01/2021 |
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ESA-1362A | Virtual Appointment Scheduler | 04/01/2021 |
|
HRP-1023A | Food Assistance Program - The Emergency Food Assistance Program (TEFAP) (English/Spanish) | 03/01/2021 |
|
FAA-1045A-S | Cómo utilizar su tarjeta de EBT de Arizona | 03/01/2021 |
|
FAA-1045A | How to Use Your Arizona EBT Card | 03/01/2021 |
| Download | Number | Name |
Effective Date |
|---|---|---|---|
|
RSA-1413A | Memorandum of Understanding between AZ DES/DDD and AZ DES/RSA | 04/01/2021 |
|
PUA-1004 | Pandemic Unemployment Assistance (PUA) Checks - Cancellation Notice Message | 06/16/2020 |
|
UIB-0105B | Pandemic Emergency Unemployment Compensation (PEUC) Notice | 06/05/2020 |
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PUA-1003 | Pandemic Unemployment Assistance (PUA) Check Message | 06/02/2020 |
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PUA-1007 | Pandemic Unemployment Assistance (PUA) Reminder to Register Message | 06/01/2020 |
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PUA-1002A | Pandemic Unemployment Assistance (PUA) Reminder | 06/01/2020 |
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PUA-1001 | Pandemic Unemployment Assistance (PUA) Filing Notice English | 05/12/2020 |
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PUA-1005 | Pandemic Unemployment Assistance (PUA) Postcard | 05/11/2020 |
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PUA-1006 | Pandemic Unemployment Assistance (PUA) Postcard | 05/08/2020 |
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FPU-1000 | Federal Pandemic Unemployment Compensation (FPUC) Program Notice | 04/16/2020 |
| Download | Number | Name |
Effective Date |
|---|---|---|---|
|
HRP-1037A | Commodity Senior Food Program (CSFP) Recertification Notice | 04/01/2021 |
|
FAA-1125A | Tribal/FAA - Turn Around Document (TAD) | 04/01/2021 |
|
DDD-1436A | Behavioral Health Professional Consultation Summary | 04/01/2021 |
|
ESA-1184A | Veterans' Priority of Services | 04/01/2021 |
|
ESA-1362SA-S | Programe una cita virtual | 04/01/2021 |
|
CCA-0208A | Provider/Parent/Guardian's Agreement for Child Care Charges | 04/01/2021 |
|
ESA-1184A-S | Prioridad de Servicio para los Veteranos | 04/01/2021 |
|
ESA-1362A | Virtual Appointment Scheduler | 04/01/2021 |
|
CCA-0208A-S | Acuerdo del Proveedor/Padre/Madre/Guardian - Acerca de los Costos de Cuidado de Niños | 04/01/2021 |
|
RSA-1413A | Memorandum of Understanding between AZ DES/DDD and AZ DES/RSA | 04/01/2021 |
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