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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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Download Number Form Name Effective Date
AAA-1343A-S Solicitud de Búsqueda en el Registro Central para Verificación de Antecedentes 12/01/2019
FAA-0255A Separate Household Status Statement 12/01/2019
FAA-1440A Cash Assistance Benefit Limit Extension Request 12/01/2019
HRP-1052A CFSP Notice of Action 12/01/2019
FAA-0051A Verification of Financial Accounts 12/01/2019
FAA-1530A-XLP ABAWD Participation and Referral Notice (Extra Large Print) 12/01/2019
FAA-0098A-LP Appeal Request (Large Print) 12/01/2019
FAA-1440A-LP Cash Assistance Benefit Limit Extension Request (Large Print) 12/01/2019
FAA-0065A Verification of Living Arrangements/Residential Address 12/01/2019
FAA-1530A ABAWD Participation and Referral Notice 12/01/2019

Download Number Form Name Effective Date
SSBG Plan 2019-2020 Social Services Block Grant Plan 2019-2020 07/01/2019
6AAC2 Five-Year Review Report - Employment and Training 06/28/2019
6AAC5-Article-52 Five-Year Review Report - Child Care Assistance 06/28/2019
Statistical Bulletin May 2019 Statistical Bulletin May 2019 06/14/2019
Statistical Bulletin April 2019 Statistical Bulletin April 2019 06/03/2019
SNA & ET State Plan 2019 Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2019 06/01/2019
30th Month Feb 2019 30th Month Financial Report FY 2019 through Feb 2019 05/13/2019
Statistical Bulletin March 2019 Statistical Bulletin March 2019 05/03/2019
6AAC13 Five-Year Review Report - State Assistance Program 04/30/2019
Statistical Bulletin February 2019 Statistical Bulletin February 2019 03/29/2019

No results available.

Download Number Form Name Effective Date
WIO-1131A SNAP CAN Desert Poster 1 11/01/2019
WIO-1131A-S Póster del desierto de SNAP CAN 1 11/01/2019
ESA-1060B Workforce Services (Northeastern Arizona) 11/01/2019
WIO-1131B SNAP CAN Desert Poster 2 11/01/2019
WIO-1131B-S Póster del desierto de SNAP CAN 2 11/01/2019
WIO-1131C SNAP CAN Desert Poster 3 11/01/2019
WIO-1131C-S Póster del desierto de SNAP CAN 3 11/01/2019
WIO-1131D SNAP CAN Desert Poster 4 11/01/2019
WIO-1131D-S Póster del desierto de SNAP CAN 4 11/01/2019
WIO-1131E SNAP CAN Desert Poster 5 11/01/2019


Download Number Form Name Effective Date
HRP-1028A Application for Benefits (TEFAP, CSFP) 01/01/2020
FAA-1148A Medical Incapacity Statement (Hospitalized Applicant) 01/01/2020
FAA-1111A-XLP Participant Statement Verification Worksheet (Extra Large Print) 01/01/2020
FAA-1513A-XLP Time Savings Tips (Extra Large Print) 01/01/2020
FAA-1701A-LP Verification of Terminated Employment (Large Print) 01/01/2020
FAA-0098A-LPS Solicitud de Apelación (Letra Grande) 12/31/2019
Annual Report 2018-2019 2018-2019 DES Annual Report 12/31/2019
Five Year Strategic Plan SFY 2020 - 2024 Five Year Strategic Plan SFY 2020 - 2024 12/31/2019
30th Month October 2019 30th Month Financial Report FY 2019 through October 2019 12/24/2019
Statistical Bulletin November 2019 Statistical Bulletin November 2019 12/16/2019

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