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Reports, Forms, Pamphlets and Policies

You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.

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Download	Number	Name	Effective Date
153.27 KB (153.27 KB)	HRP-1034A-S	Programa Suplementario de Comestibles Básicos (CSFP) Aviso Individual de las Protecciones del Beneficiario	08/01/2017
189.45 KB (189.45 KB)	HRP-1041A-S	Programa Suplementario de Comestibles Básicos (CSFP) Aviso de Inscripción en la Lista de Espera	08/01/2017
503.77 KB (503.77 KB)	UB-106-T-I	Completion Instructions for Approved Training Continued Claim, UB-106-T	08/01/2017
667.53 KB (667.53 KB)	FAA-1097A	Young Adult Transitional Insurance (YATI) Referral	09/01/2017
567.85 KB (567.85 KB)	DDD-1662A	Prior Authorization	09/01/2017
1.37 MB (1.37 MB)	FAA-1097T	Young Adult Transitional Insurance (YATI) Tribal Referral	09/01/2017
658.59 KB (658.59 KB)	DD-211	Home Modifications Service Referral and Request	09/01/2017
119.65 KB (119.65 KB)	PAD-465-B	Stuffer for PAD-465 -Change in Coverage of Emergency Dental Benefits	10/01/2017
1.16 MB (1.16 MB)	CCA-1211A	Request for Search of Background Checks	10/01/2017
670.12 KB (670.12 KB)	FAA-1506A-S	Declaración del Cliente de Que No Tiene Ingresos	11/01/2017

Download	Number	Name	Effective Date
129.62 KB (129.62 KB)	DVSF2014	Domestic Violence Shelter Fund Report for SFY 2014	09/15/2014
688.14 KB (688.14 KB)	30th Month 13th 2014	30th Month Report 13th Fiscal Year 2014	09/15/2014
143.66 KB (143.66 KB)	Statistical Bulletin August 2014	Statistical Bulletin August 2014	09/15/2014
544.39 KB (544.39 KB)	2014 Child Care Report to JLBC	2014 Child Care Report to JLBC	09/18/2014
1.9 MB (1.9 MB)	Aging Plan 2015-2018	Arizona State Plan on Aging 2015-2018	09/23/2014
548.17 KB (548.17 KB)	Family Support Program 2014	DDD Family Support Program Annual Report 2014	09/25/2014
378.9 KB (378.9 KB)	Neighbors Helping Neighbors Fund 2014	Neighbors Helping Neighbors Fund Annual Report 2014	10/01/2014
2.48 MB (2.48 MB)	Title XIX Reimbursement Rates Study Report 2014	Annual Title XIX Reimbursement Rates Study Report 2014	10/01/2014
142.91 KB (142.91 KB)	Statistical Bulletin September 2014	Statistical Bulletin September 2014	10/16/2014
584.69 KB (584.69 KB)	30th Month Aug-2015	30th Month Report August Fiscal Year 2015	10/27/2014

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