You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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FAA-1415A-S | Illegal Drug Use Statement (Spanish) | 07/01/2023 |
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FAA-1818A | Nutrition Assistance (NA) Medical Expense Deduction | 07/01/2023 |
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FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
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GCI-1134A | Child File Review Form: Indicator 7 45-Day Timeline (Guidance) | 07/01/2023 |
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FAA-1145A | Authorization to Share Information (English/Spanish) | 07/01/2023 |
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FAA-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
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ESA-1306A | Employment Service Registration | 07/01/2023 |
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PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
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FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
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FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
Download | Number | Name | Effective Date |
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SNA-1005A | Employment and Career Development Plan (ECDP) (English) | 03/01/2023 |
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CCA-1311A-S | Arizona Education Workforce Scholarship Program Application (Spanish) | 03/01/2023 |
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SNA-1005A-S | Employment and Career Development Plan (ECDP) (Spanish) | 03/01/2023 |
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CCA-1312A-S | Acuerdo del Proveedor/Padre/Madre/Tutor Acerca de los Costos de Cuidado de Niños No Cubiertos por el DES | 03/01/2023 |
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CCA-0228A-S | Registro Presupuestario Mensual de Trabajo por Cuenta Propia | 03/01/2023 |
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CCA-0227A | Self-Employment Monthly Income Log | 03/01/2023 |
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DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
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DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
Download | Number | Name | Effective Date |
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Statistical Bulletin October 2014 | Statistical Bulletin October 2014 | 11/14/2014 |
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WIA 2013 Annual Report | Arizona PY 13 WIA Title IB Annual Report | 11/14/2014 |
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30th Month Aug-2015 | 30th Month Report August Fiscal Year 2015 | 10/27/2014 |
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Statistical Bulletin September 2014 | Statistical Bulletin September 2014 | 10/16/2014 |
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Title XIX Reimbursement Rates Study Report 2014 | Annual Title XIX Reimbursement Rates Study Report 2014 | 10/01/2014 |
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Aging Plan 2015-2018 | Arizona State Plan on Aging 2015-2018 | 09/23/2014 |
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30th Month 13th 2014 | 30th Month Report 13th Fiscal Year 2014 | 09/15/2014 |
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DVSF2014 | Domestic Violence Shelter Fund Report for SFY 2014 | 09/15/2014 |
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Statistical Bulletin August 2014 | Statistical Bulletin August 2014 | 09/15/2014 |
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Tribal Consultation Report 2014 | Tribal Consultation Report 2014 | 09/05/2014 |
Download | Number | Name | Effective Date |
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SNA-1060A | Supplemental Nutrition Assistance -Employment and training Program | 12/01/2020 |
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RSA-1242A-SLP | Transición con la Rehabilitación Vocacional (Letra Grande) | 12/01/2020 |
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CSE-1051A | How to Apply for IV-D Child Support Services (English) | 11/01/2020 |
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CSE-1051A-S | How to Apply for IV-D Child Support Services (Spanish) | 11/01/2020 |
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VR-1005A | Arizona Employer Toolkit | 10/01/2020 |
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CCA-0626A | Non-Certified Relative Child Care Provider | 10/01/2020 |
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CCA-0626A-S | Parientes como Proveedores No Certificados de Cuidado de Niños | 10/01/2020 |
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DDD-2073A | Long Term Care / Home and Community Based Services Claims Submission Guide | 09/01/2020 |
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DDD-2082A | Report Suspected Abuse, Neglect or Exploitation | 09/01/2020 |
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DDD-2082A-S | Reportando Sospechas de Abuso, Negligencia, o Explotación | 09/01/2020 |
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