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| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
FA-065-FF | Verification of Living Arrangements/Residential Address | 08/01/2018 |
|
DD-525 | Application for Eligibility Determination | 08/01/2018 |
|
CS-127-PF | Acknowledgment of Paternity (Eng/Span) | 08/01/2018 |
|
DD-525-S | Solicitud para la Determinación de Elegibilidad | 08/01/2018 |
|
FA-077-FF-S | Solicitud de Información y Acuerdo para Proporcionar Información que Falta | 08/01/2018 |
|
FA-077-FF | Information Request and Pending Information Agreement | 08/01/2018 |
|
CC-229 (FY19) | Child Care Assistance Gross Monthly Income Eligibility Chart and Fee Schedule (English/Spanish) | 08/01/2018 |
|
CCA-1116A | Child Care Assistance Priority Waiting List Income Table | 08/01/2018 |
|
CSE-1290A | Caretakers Statement Regarding Physical Custody of a Child | 08/01/2018 |
|
CSE-1290A-S | Declaración del Cuidador Referente a la Custodia Física de un Menor o Menores | 08/01/2018 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
Tribal Consultation Report 2017 | Tribal Consultation Report 2017 | 01/18/2018 |
|
30th Month Oct 2017 | 30th Month Financial Report FY-2018 through Oct-2017 | 01/03/2018 |
|
TANF-WVP 2018 | Temporary Assistance for Needy Families (TANF) Work Verification Plan 2018 | 01/01/2018 |
|
Annual Report on Homelessness 2017 | Annual Report on Homelessness 2017 | 12/31/2017 |
|
Five Year Strategic Plan SFY 2018 - 2022 | Five Year Strategic Plan SFY 2018 - 2022 | 12/29/2017 |
|
Statistical Bulletin November 2017 | Statistical Bulletin November 2017 | 12/14/2017 |
|
APS SFY 2017 | Adult Protective Services Annual Activity 2017 Report | 12/01/2017 |
|
Statistical Bulletin October 2017 | Statistical Bulletin October 2017 | 11/28/2017 |
|
30th Month Sep 2017 | 30th Month Financial Report FY-2018 through Sep-2017 | 11/20/2017 |
|
30th Month Aug-2017 | 30th Month Financial Report FY-2018 through Aug-2017 | 11/07/2017 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
AAA-1265A | Mature Worker Program | 07/01/2018 |
|
HRP-1047A | Arizona Commodity Senior Food Program (CSFP) | 07/01/2018 |
|
FAA-1513A | Time Saving Tips | 07/01/2018 |
|
GCI-1007A | Arizona Early Intervention Program (AzEIP) | 07/01/2018 |
|
FAA-1513A-S | Consejos para Ahorrar Tiempo | 07/01/2018 |
|
RSA-1130A-LP | Owner's Guide to Work (Large Print) | 07/01/2018 |
|
Memorial Day | Memorial Day | 05/28/2018 |
|
DD-640 | Who is Eligible? | 05/01/2018 |
|
DD-640-S | ¿Quién es Elegible? | 05/01/2018 |
|
CSE-1043A | What Every Parent Should Know About Establishing Paternity | 05/01/2018 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
FAA-1573A-S | Derechos y Responsabilidades | 09/01/2018 |
|
DDD-1749A | Support Coordinator Guide to AAC Evaluation Referrals | 09/01/2018 |
|
AAA-1217A | Monthly Legal Services Assistance Report | 09/01/2018 |
|
J-020-LP | Client Discrimination Complaint (Large Print) | 09/01/2018 |
|
DES-1059A | Authorization to Release Information | 09/01/2018 |
|
UB-052 | Request for Correction | 09/01/2018 |
|
DD-191 | Incident Report | 09/01/2018 |
|
DD-524-FF | Authorization for Release of Information | 09/01/2018 |
|
FAA-1217A | Request for Verification of Godparent Specified Relative | 09/01/2018 |
|
UB-105 | Arizona Initial Claim for Unemployment Insurance | 09/01/2018 |
