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Download | Number | Form Name | Effective Date |
---|---|---|---|
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CC-228 | Self-Employment Budget Record | 10/01/2018 |
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DDD-1703A | Provider Request for Central Registry Background Check | 10/01/2018 |
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CC-024A-S | Declaración de Verificación de Sueldo y Empleo | 10/01/2018 |
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CC-024A | Employment and Wage Verification Statement | 10/01/2018 |
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CC-041 | Fair Hearing Request | 10/01/2018 |
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CC-228-S | Registro Presupuestario de empleo propio | 10/01/2018 |
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CC-041-S | Solicitud De Audiencia Imparcial | 10/01/2018 |
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DD-524-FF | Authorization for Release of Information | 10/01/2018 |
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DD-524-FFS | Autorización para Entregar Información | 10/01/2018 |
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DES-1077A-S-LP | Aviso Sobre las Prácticas de Confidencialidad (Letra Grande) | 09/01/2018 |
Download | Number | Form Name | Effective Date |
---|---|---|---|
|
Statistical Bulletin May 2013 | Statistical Bulletin May 2013 | 06/14/2013 |
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30th Month April 2013 | 30th Month Report April Fiscal Year 2013 | 06/10/2013 |
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Statistical Bulletin April 2013 | Statistical Bulletin April 2013 | 05/15/2013 |
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30th Month March 2013 | 30th Month Report March Fiscal Year 2013 | 05/09/2013 |
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Statistical Bulletin March 2013 | Statistical Bulletin March 2013 | 04/16/2013 |
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30th Month February 2013 | 30th Month Report February Fiscal Year 2013 | 04/09/2013 |
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30th Month January 2013 | 30th Month Report January Fiscal Year 2013 | 03/28/2013 |
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Statistical Bulletin February 2013 | Statistical Bulletin February 2013 | 03/26/2013 |
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Statistical Bulletin January 2013 | Statistical Bulletin January 2013 | 02/15/2013 |
|
30th Month December 2013 | 30th Month Report December Fiscal Year 2013 | 02/14/2013 |
Download | Number | Form Name | Effective Date |
---|---|---|---|
|
GCI-1086A-S | Una Guía Familiar para la Financiación de los Servicios de Intervención Temprana en Arizona | 11/01/2012 |
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PAD-517-S | Trabajando Junto a Usted | 03/01/2012 |
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PAD-588-PD | Decisions About Your Health Care | 11/01/2011 |
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PAD-588-PDS | Decisiones sobre el cuidado de su salud | 11/01/2011 |
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DDD-1558A | Choking (Prevention is No Accident!) | 11/01/2011 |
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PAJ-455 | Job Search Skills | 09/01/2011 |
|
Ombudsman Manual | Ombudsman Manual | 03/23/2011 |
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RSA-LP6106 | Rehabilitation Adjustment & Employment Services Brochure | 10/19/2010 |
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PPP-1122A | Limited English Proficiency (LEP) Flyer | 10/01/2010 |
|
OPE-1008A | Office of Program Evaluation | 09/01/2009 |
Download | Number | Form Name |
Effective Date |
---|---|---|---|
|
CSE-1178A-S | Paquete de Modificación de Sustento para Menores | 05/01/2019 |
|
PAD-465D | ALTCS Member Handbook Insert (English/Spanish) | 05/01/2019 |
|
FAA-1407A-S | Guía de Referencia de WIC de Arizona | 05/01/2019 |
|
RSA-1213A-S | Beneficios por discapacidad en Arizona 101 | 05/01/2019 |
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AAA-1035A | Arizona Long-Term Care Ombudsman Program | 05/01/2019 |
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HRP-1052A | CFSP Notice of Action | 05/01/2019 |
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AAA-1035A-S | Programa del Ombudsman de Cuidado a Largo Plazo de Arizona | 05/01/2019 |
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SNA-1046A | Monthly Work Activity Report | 05/01/2019 |
|
SNA-1046A-S | Informe Mensual de Actividades Laborales (Monthly Work Activity Report) | 05/01/2019 |
|
CCA-1262A | Home Inspection Checklist | 05/01/2019 |
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