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Download Number Form Name Effective Date
FA-051 Verification of Financial Accounts 04/01/2019
FA-574-LP Withdrawal or Stop Benefits/Appeal Request (Large Print) 04/01/2019
FAA-1364A Application Processing Procedures 04/01/2019
FA-574-LP-S Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) 04/01/2019
FAA-1365A Definition of Terms 04/01/2019
FAA-1366A Eligibility Requirements 04/01/2019
FAA-1544A Indigent Exception Worksheet 04/01/2019
FAA-1544A-S Planilla de Excepcion por Indigencia 04/01/2019
FAA-1573A Rights and Responsibilities 04/01/2019
DDD-1472B ISP - Annual Review and Update Packet (Residential Placement) 04/01/2019

Download Number Form Name Effective Date
6AAC1 Five-Year Review Report - Department of Economic Security 06/30/2018
6AAC11 Five-Year-Review Report - The Job Training Partnership Act 06/30/2018
6AAC4 Five-Year-Review Report - Rehabilitation Services 06/30/2018
Statistical Bulletin May 2018 Statistical Bulletin May 2018 06/13/2018
30th Month Apr-2018 30th Month Financial Report FY-2018 through Apr-2018 06/06/2018
Aging Plan 2019-2022 Arizona State Plan on Aging 2019-2022 06/01/2018
Statistical Bulletin April 2018 Statistical Bulletin April 2018 05/17/2018
Annual Report 2016-2017 2016-2017 DES Annual Report 05/16/2018
Public Report of AzEIP 2016 Public Report of Early Intervention Services Programs, 2016 05/14/2018
30th Month Mar-2018 30th Month Financial Report FY-2018 through Mar-2018 05/04/2018

No results available.

Download Number Form Name Effective Date
Arizona County Demographics Handbook 2018 Arizona County Demographics Handbook 2018 01/09/2019
Arizona Legislative District Demographics Handbook 2018 Arizona Legislative District Demographics Handbook 2018 01/09/2019
CSE-1177A How to Make Your IV-D Child Support Payment (English/Spanish) 01/01/2019
DDD-1945A Support Coordination and You 01/01/2019
HRP-1047A Arizona Commodity Senior Food Program (CSFP) 01/01/2019
DDD-1945A-S Coordinación de Apoyo y Usted 01/01/2019
CCA-1251A DES Certified Family Child Care – Informational Flyer 01/01/2019
POX-248 Americans with Disabilities Act Notice 01/01/2019
HPY-330 Article 52: Certification and Supervision of Family Child Care Home Providers (English/Spanish) – EFF 12/01/2018
CCA-1216A Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES 11/01/2018


Download Number Form Name Effective Date
FAA-0077A-LP Information Request and Pending Information Agreement (Large Print) 05/01/2019
FA-001-S Solicitud de Beneficios 05/01/2019
FAA-0077A-S-LP Solicitud de Información y Acuerdo para Proporcionar Información que Falta (Letra Grande) 05/01/2019
SNA-1046A Monthly Work Activity Report 05/01/2019
SNA-1046A-S Informe Mensual de Actividades Laborales (Monthly Work Activity Report) 05/01/2019
RSA-1213A Disability Benefits 101 05/01/2019
DDD-1403E Job Coach Agreement Individual Supported Employment Services 05/01/2019
DDD-1403F Job Search Agreement- Individual Supported Employment Services 05/01/2019
FAA-1701A Verification of Terminated Employment 05/01/2019
FAA-0053A Verification of New/Current Employment 05/01/2019

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