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Download Number Form Name Effective Date
GCI-1043A-S Developmental Evaluation Report (Spanish Accessible) 06/01/2016
DDD-1748A Strategic Plan 2016 - 2020 06/01/2016
DDD-1748B-S Plan Estratégico 2016-2020 Resumen 06/01/2016
HRP-1026A-S The Emergency Food Assistance Program- Beneficiary Referral Request (Spanish) 06/01/2016
CC-011 Information for Prospective Family Child Care Providers 06/01/2016
UB-194-FF Employer Verification or Requalifying Earnings 05/01/2016
ESA-1297A Assurances for Interstate and Interstate Clearance Orders 05/01/2016
CCA-1207A Notice of Monitoring Rights 05/01/2016
DDD-1532A Hardship Reduction Request 05/01/2016
DDD-1532A-S Solicitud de Reducción Debido a Dificultad Económica 05/01/2016

Download Number Form Name Effective Date
Aging Plan 2004-2006 Arizona State Plan on Aging 2004-2006 10/01/2003
DES Welfare-2002 DES Welfare Report 2002 12/31/2002
Annual Report 2001-2002 2001-2002 DES Annual Report 12/31/2002
CCA Market Rate Survey 02 Child Care Market Rate Survey 2002 12/01/2002
Annual Report 2000-2001 2000-2001 DES Annual Report 01/18/2002
DES Welfare-2001 DES Welfare Report 2001 12/31/2001
DES Welfare-2000 DES Welfare Report 2000 12/31/2000

No results available.

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Download Number Form Name Effective Date
UB-296 Report of Illness or Physical Disability 05/01/2018
DDD-1883A What is PASRR? 05/01/2018
UB-296-S Informe de enfermedad o discapacidad física (Spanish) 05/01/2018
DDD-1530A Managed Risk Assessment Service and/or Placement 05/01/2018
DD-097 Pre-Service Provider Orientation 05/01/2018
DDD-1883A-S ¿Qué es PASRR? 05/01/2018
RSA-1313A Authorization for Release of RSA Records 05/01/2018
DD-097-1-FFS Orientación del Proveedor Previa al Servicio 05/01/2018
DDD-1405C Transition To Employment - Quality Assurance Review 05/01/2018
DDD-1401A Center Based Employment - Quarterly Report 05/01/2018

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