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Download Number Form Name Effective Date
UB-105 Arizona Initial Claim for Unemployment Insurance 03/01/2020
FAA-1111A-XLP Participant Statement Verification Worksheet (Extra Large Print) 03/01/2020
UB-105-S Reclamo Inicial para Seguro por Desempleo en Arizona 03/01/2020
FAA-0098B Verbal Appeals Request 03/01/2020
FAA-1475A Verification of Out-Of-State Benefits 03/01/2020
FAA-1208A Language Notification Flyer 03/01/2020
DDD-2063A Ongoing Quarterly Progress Report (QPR) Plan of Care/Treatment Plan 03/01/2020
FAA-0001A Application for Benefits 03/01/2020
FAA-1111A Participant Statement Verification Worksheet 03/01/2020
FAA-0001A-S Solicitud de Beneficios 03/01/2020

Download Number Form Name Effective Date
30th Month January 2020 30th Month Financial Report FY 2020 through January 2020 03/19/2020
Draft SSBG Plan 2020-2021 Draft Social Services Block Grant Plan 2020-2021 03/16/2020
Statistical Bulletin February 2020 Statistical Bulletin February 2020 03/11/2020
SFMNP-WIC-FMNP Seniors Farmer's Market Nutrition Program (SFMNP) and the WIC Farmer's Market Nutrition (FMNP) Program Policy and Procedure Manual 03/03/2020
SFMNP-WIC-FMNP CSPG Seniors Farmer's Market Nutrition Program (SFMNP) and the WIC Farmer's Market Nutrition (FMNP) Program Consolidated State Plan Guidance 03/02/2020
Statistical Bulletin January 2020 Statistical Bulletin January 2020 02/28/2020
30th Month December 2019 30th Month Financial Report FY 2019 through December 2019 02/14/2020
6AAC14 Five-Year Review Report - Food Stamps Program 02/04/2020
Statistical Bulletin December 2019 Statistical Bulletin December 2019 02/04/2020
AZ-CSFP Arizona Commodity Senior Food Program (CSFP) State Plan 01/14/2020

Download Number Form Name Effective Date
CCA Emergency & Disaster Preparedness Plan Child Care Administration Emergency and Disaster Preparedness Plan 09/30/2019
WIO-1064A Joint Guidance for Limitations on Use of Subminimum Wage 07/26/2017
TEFAP Policy and Procedure Manual The Emergency Food Assistance Program Policy and Procedure Manual 05/24/2017
DES 1-01-14-01 Director's Office of Equal Opportunity Procedures: Client Complaint Process 02/24/2017
DES 1-01-14 Office of Equal Opportunity: Client Complaints 08/29/2016
DES_1-92-03 Tribal Government Consultation 10/06/2014
DES 1-01-34 Limited English Proficiency 08/08/2014
DES 1-01-12 Americans with Disabilities Act (ADA) Title II 03/15/2013
DES 1-01-12-01S Procedimientos del Título II de la Ley de Estadounidenses con Discapacidades 03/15/2013
DES 1-01-12S Ley de Estadounidenses con Discapacidades - Título II 03/15/2013

Download Number Form Name Effective Date
DDD-0465A Arizona Long Term Care System (ALTCS) Handbook 10/01/2020
FAA-0032A-LP Information Needed to Complete Your Case (English/Spanish - Large Print) 07/01/2020
ESA-1353A Federal Bonding Program 03/01/2020
Legislative District Demographics Arizona Legislative District Demographics Handbook 2018 02/12/2020
RSA-1242A Vocational Rehabilitation Transition 02/01/2020
RSA-1242A-S Transición con la Rehabilitación Vocacional 02/01/2020
RSA-1242A-LP Vocational Rehabilitation Transition (Large Print) 02/01/2020
RSA-1242A-SLP Transición con la Rehabilitación Vocacional (Letra Grande) 02/01/2020
CSE-1246B Child Support Services Program Overview (Bilingual) 02/01/2020
AAA-1289A Family Caregiver Support Program 02/01/2020


Download Number Form Name Effective Date
DDD-0465A Arizona Long Term Care System (ALTCS) Handbook 10/01/2020
FAA-0032A-LP Information Needed to Complete Your Case (English/Spanish - Large Print) 07/01/2020
30th Month January 2020 30th Month Financial Report FY 2020 through January 2020 03/19/2020
Draft SSBG Plan 2020-2021 Draft Social Services Block Grant Plan 2020-2021 03/16/2020
Statistical Bulletin February 2020 Statistical Bulletin February 2020 03/11/2020
SFMNP-WIC-FMNP Seniors Farmer's Market Nutrition Program (SFMNP) and the WIC Farmer's Market Nutrition (FMNP) Program Policy and Procedure Manual 03/03/2020
SFMNP-WIC-FMNP CSPG Seniors Farmer's Market Nutrition Program (SFMNP) and the WIC Farmer's Market Nutrition (FMNP) Program Consolidated State Plan Guidance 03/02/2020
UB-105 Arizona Initial Claim for Unemployment Insurance 03/01/2020
UB-105-S Reclamo Inicial para Seguro por Desempleo en Arizona 03/01/2020
ESA-1353A Federal Bonding Program 03/01/2020

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