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Download Number Form Name Effective Date
UB-217-FF Wage/Employment Investigation Request 11/01/2016
GCI-1101A Reversal/Void Invoice Linte Item Request 10/01/2016
DDD-1741A Request for Eligibility Tool Ages Birth - 3 Years 10/01/2016
HPZ-034-A AZ Taxonomy of Human Services - Request for a New or Revised Program/Cluster/Service 10/01/2016
DDD-1741A-S Solicitud Para Una Herramienta De Revisión De Eligibilidad A La DDD Desde El Nacimiento A Los 3 Años De Edad 10/01/2016
DDD-1469A Spouse Attendant Care Acknowledgment of Understanding 10/01/2016
DDD-1469A-S Reconocimiento de Comprensión del Cuidado Directo Por Parte del Cónyuge 10/01/2016
CC-016-PD Priority Waiting List: What You Need to Know 09/01/2016
CC-016-PD-S Lista Prioritaria de Espera para Asistnecia con el Cuidado de Niños: Lo que Necesita Saber 09/01/2016
CC-046 DES Child Care Services Information 09/01/2016

Download Number Form Name Effective Date
DES Welfare-2005 DES Welfare Report 2005 12/31/2005
Annual Report on Homelessness 2005 14th Annual Report on Homelessness December 2005 12/01/2005
TANF Report 2005 TANF State Plan Effective 2005 Amended February 2007 10/01/2005
2005 Child Care Report to JLBC Child Care Report to JLBC 2005 09/29/2005
Family Support Program 2006 DDD Family Support Program Annual Report 2006 07/01/2005
Will Anyone Care April 2005 Will Anyone Care April 2005 04/01/2005
Annual Report 2003-2004 2003-2004 DES Annual Report 01/27/2005
DES Welfare-2004 DES Welfare Report 2004 12/31/2004
Annual Report on Homelessness 2004 13th Annual Report on Homelessness December 2004 12/01/2004
CCA Market Rate Survey 04 Child Care Market Rate Survey 2004 12/01/2004

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Download Number Form Name Effective Date
CSE-1061A-S Establecer la Paternidad 07/01/2018
DDD-1370A Child Information Guide 07/01/2018
FAA-1513A-S Consejos para Ahorrar Tiempo 07/01/2018
DDD-1370A-S Información Sobre el Menor 07/01/2018
UB-400 Shared Work Unemployment Compensation - Information and Application 07/01/2018
DDD-1727A Direct Service Position 07/01/2018
GCI-1007A Arizona Early Intervention Program (AzEIP) 07/01/2018
FAA-1004A-S Designación de Titular Sustituto para la Tarjeta de EBT 07/01/2018
RSA-1130A-LP Owner's Guide to Work (Large Print) 07/01/2018
CCA Market Rate Survey 18 Child Care Market Rate Survey 2018 07/01/2018

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