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Download Number Form Name Effective Date
DDD-1472D ISP - Annual Review and Update Packet (Targeted/DD Only - Age 3 and Above) 04/01/2019
FAA-1573A-LP Rights and Responsibilities (Large Print) 04/01/2019
DDD-1472D-S Paquete del Repaso Anual y Actualización del ISP (Enfocado/ Sólo para DD - 3 años y más de edad) 04/01/2019
UC-018 Unemployment Tax Wage Report 04/01/2019
RSA-1367A Appeal Rights 04/01/2019
FAA-1573A-LP-S Derechos y Responsabilidades (Letra Grande) 04/01/2019
FA-574-S Retirar o Suspender Beneficios/Solicitud de Apelación 04/01/2019
UC-020 UI Tax Wage Listing Continuation 04/01/2019
RSA-1367A-LP Appeal Rights (Large Print) 04/01/2019
AAA-1301A Adult Protective Services (APS) Records Request Form 04/01/2019

Download Number Form Name Effective Date
6AAC11 Five-Year-Review Report - The Job Training Partnership Act 06/30/2018
6AAC4 Five-Year-Review Report - Rehabilitation Services 06/30/2018
Statistical Bulletin May 2018 Statistical Bulletin May 2018 06/13/2018
30th Month Apr-2018 30th Month Financial Report FY-2018 through Apr-2018 06/06/2018
Aging Plan 2019-2022 Arizona State Plan on Aging 2019-2022 06/01/2018
Statistical Bulletin April 2018 Statistical Bulletin April 2018 05/17/2018
Annual Report 2016-2017 2016-2017 DES Annual Report 05/16/2018
Public Report of AzEIP 2016 Public Report of Early Intervention Services Programs, 2016 05/14/2018
30th Month Mar-2018 30th Month Financial Report FY-2018 through Mar-2018 05/04/2018
Statistical Bulletin March 2018 Statistical Bulletin March 2018 04/17/2018

No results available.

Download Number Form Name Effective Date
CCA-1251A DES Certified Family Child Care – Informational Flyer 01/01/2019
CSE-1177A How to Make Your IV-D Child Support Payment (English/Spanish) 01/01/2019
DDD-1945A Support Coordination and You 01/01/2019
DDD-1945A-S Coordinación de Apoyo y Usted 01/01/2019
HRP-1047A Arizona Commodity Senior Food Program (CSFP) 01/01/2019
HPY-330 Article 52: Certification and Supervision of Family Child Care Home Providers (English/Spanish) – EFF 12/01/2018
DDD-1732A Incontinence Briefs for Adults 21 Years and older 11/01/2018
LCR-1036A Life Safety Inspections 11/01/2018
CCA-1216A Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES 11/01/2018
DDD-1732A-S Calzoncillos de incontinencia para los adultos de 21 años y mayores 11/01/2018


Download Number Form Name Effective Date
FAA-1407A-S Guía de Referencia de WIC de Arizona 05/01/2019
HRP-1052A CFSP Notice of Action 05/01/2019
FAA-0053A-LP Verification of New/Current Employment (Large Print) 05/01/2019
DDD-1404E Employment Support Aide Agreement 05/01/2019
DDD-1345A Medical Justification for Home Modifications 05/01/2019
FAA-1494A-XLP Nutrition Assistance Authorized Representative Removal (Extra Large Print) 05/01/2019
FAA-1701A-LP Verification of Terminated Employment (Large Print) 05/01/2019
FAA-0077A-LP Information Request and Pending Information Agreement (Large Print) 05/01/2019
FAA-0077A-S-LP Solicitud de Información y Acuerdo para Proporcionar Información que Falta (Letra Grande) 05/01/2019
FAA-0053A Verification of New/Current Employment 05/01/2019

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