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Download Number Form Name Effective Date
CCA-1200A Best of Care 10/01/2019
CSE-1290A-S Declaración del Cuidador Referente a la Custodia Física de un Menor o Menores 10/01/2019
CCA-0218B-S Registro de Entradas y Salidas (Versión extendida) 10/01/2019
FAA-1549A Merchant Restaurant Meals Program 10/01/2019
CCA-0218A-S Registro de Entradas y Salidas 10/01/2019
DDD-2036A Member Funds Monthly Ledger 10/01/2019
DCS-1339A Request for Administrative Review (Seizure of Property) 10/01/2019
CSE-1196A Notification of Employment Termination 10/01/2019
LCR-1034A-S Afidávit de Auto Revelación de la Historial Criminal 10/01/2019
ESA-1314B Notification of Complaint to Employer 10/01/2019

Download Number Form Name Effective Date
SSBG Plan 2019-2020 Social Services Block Grant Plan 2019-2020 07/01/2019
6AAC2 Five-Year Review Report - Employment and Training 06/28/2019
6AAC5-Article-52 Five-Year Review Report - Child Care Assistance 06/28/2019
Statistical Bulletin May 2019 Statistical Bulletin May 2019 06/14/2019
Statistical Bulletin April 2019 Statistical Bulletin April 2019 06/03/2019
SNA & ET State Plan 2019 Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2019 06/01/2019
30th Month Feb 2019 30th Month Financial Report FY 2019 through Feb 2019 05/13/2019
Statistical Bulletin March 2019 Statistical Bulletin March 2019 05/03/2019
6AAC13 Five-Year Review Report - State Assistance Program 04/30/2019
6AAC9 Five-Year Review Report-Appellate Services Administration 03/29/2019

No results available.

Download Number Form Name Effective Date
WIO-1131G-S Póster del desierto de SNAP CAN 7 11/01/2019
APS-1008A Adult Protective Services Statutory Changes 11/01/2019
AAA-0525A Residents’ Rights 11/01/2019
AAA-0525A-S Derechos de Residentes 11/01/2019
TAA-1087A-S Programa de Subsidio por Ajuste de Comercio 10/01/2019
DDD-0640A How DDD Eligibility is Determined 10/01/2019
DDD-1551A-Flyer Medallion Program - Flyer 10/01/2019
DDD-0640A-S Cómo se determina la elegibilidad DDD 10/01/2019
CSE-1043A What Every Parent Should Know About Establishing Paternity 10/01/2019
DDD-0465A Arizona Long Term Care System (ALTCS) Member Handbook 10/01/2019


Download Number Form Name Effective Date
WIO-1131E-S Póster del desierto de SNAP CAN 5 11/01/2019
WIO-1131B SNAP CAN Desert Poster 2 11/01/2019
WIO-1131F-S Póster del desierto de SNAP CAN 6 11/01/2019
WIO-1131C SNAP CAN Desert Poster 3 11/01/2019
CCA-0201A Certification Statement for Providing Child Care Services 11/01/2019
WIO-1131G-S Póster del desierto de SNAP CAN 7 11/01/2019
WIO-1131D SNAP CAN Desert Poster 4 11/01/2019
POX-248-S Aviso sobre la Ley de Estadounidenses con Discapacidades 11/01/2019
CCA-0201A-S Declaración de Certificación para Proveer Servicios de Cuidado de Niños 11/01/2019
APS-1008A Adult Protective Services Statutory Changes 11/01/2019

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