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Download Number Form Name Effective Date
GCI-1077A-S Solicitud de Reclamo 01/01/2019
HRP-1003A Commodity Disposal Report (CDR) 01/01/2019
HRP-1027A USDA Compliance Review 01/01/2019
HRP-1007A Commodity Transfer Report 01/01/2019
GCI-1021G-J Individualized Family Service Plan (Addendum) - Packet 12/01/2018
GCI-1021G-J-S Plan Individualizado de Servicio Familiar (Adenda) - Paquete 12/01/2018
WIO-1084A WIOA Title I-B Adult and Dislocated Worker Incentive Approval Request Form 12/01/2018
ES-935 Claimant’s Affidavit of Federal Civilian Service, Wages, and Reason for Separation - UCFE 12/01/2018
FAA-1565A Nutrition Assistance Drug Testing Agreement 12/01/2018
UC-522 Adjustment Report 12/01/2018

Download Number Form Name Effective Date
Statistical Bulletin March 2014 Statistical Bulletin March 2014 04/15/2014
APS SFY 2013 Adult Protective Services Annual Activity 2013 Report 04/08/2014
30th Month February 2014 30th Month Report February Fiscal Year 2014 04/02/2014
IDEA Part C Child Count FFY 2013 Resubmission Child Count and Settings 04/01/2014
Statistical Bulletin February 2014 Statistical Bulletin February 2014 03/28/2014
30th Month January 2014 30th Month Report January Fiscal Year 2014 03/06/2014
Statistical Bulletin January 2014 Statistical Bulletin January 2014 02/28/2014
TANF Report October 2011 TANF State Plan Effective October 1, 2011 02/25/2014
30th Month December 2014 30th Month Report December Fiscal Year 2014 02/24/2014
Annual Report 2012-2013 2012-2013 DES Annual Report 02/06/2014

No results available.

Download Number Form Name Effective Date
CCA-1101A What is Regulated Child Care in Arizona? 04/01/2015
CCA-1101A-S ¿Qué es el Cuidado de Niños Regulado en Arizona? 04/01/2015
DDD-1698A Dental Care Ages Birth-21 04/01/2015
GCI-1086A A Family's Guide to Funding Early Intervention Services in Arizona 04/01/2015
AAA-1246A Serving the Needs of Family Caregivers in Arizona 03/01/2015
AAA-1246A-S Satisfacer las Necididades de Cuidadores Familiares en Arizona 03/01/2015
DDD-1700A Keep Your Baby Healthy 02/01/2015
AD-475-A And Justice for all 01/01/2015
CSE-1236A DCSS Employer Relations Flyer 11/01/2014
CSE-1155A Quick Reference to Reporting Requirements for Employers 08/01/2014


Download Number Form Name Effective Date
FAA-1530A-LP-S Aviso de Recomendación y Participación de ABAWD (Letra Grande) 06/01/2019
JOB-1135A-S Programa Jobs de Arizona 06/01/2019
RSA-1367A-SLP Derechos de Apelación (Letra Grande) 06/01/2019
FAA-1111A Participant Statement Verification Worksheet 06/01/2019
FAA-1439A-XLP Self-Employment Income Statement (Extra Large Print) 06/01/2019
FAA-1111A-S Hoja para Verificar la Declaración del Participante 06/01/2019
HRP-1039A Commodity Senior Food Program (CSFP) Participant Rights and Obligations 06/01/2019
FAA-1530A-XLP ABAWD Participation and Referral Notice (Extra Large Print) 06/01/2019
ESA-1060A Reemployment Workforce Services 06/01/2019
FAA-1530A-XLPS Aviso de Recomendación y Participación de ABAWD (Letra Extra Grande) 06/01/2019

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