You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name |
Effective Date |
---|---|---|---|
|
DCAD-LIHWAP-1 | Low Income Household Water Assistance Program Policy - Rev. 7 Sunset | 08/08/2023 |
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AAA-1301A | Adult Protective Services (APS) Records Request Form (English) | 08/01/2023 |
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DDD-2222A | Background Check Authorization for Qualified Vendor Application (RFQVA) (English) | 08/01/2023 |
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CCA-1318A | Arizona Child Care Assistance Provider Decision Tool | 08/01/2023 |
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DDD-2223A | RFQVA DDD-2024 Attestation of Policy Development Tool (English) | 08/01/2023 |
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DDD-1426A | Request for Incontinence Briefs for Members Ages 3 and Above (English) | 08/01/2023 |
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AAA-1240A | Disease Prevention and Health Promotion Services Quarterly Summary Report | 08/01/2023 |
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APS-1032A | Authorization to Release Non-HIPAA Information Form | 08/01/2023 |
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J-119 | Data Sharing Request/Agreement (Single Division) (English) | 08/01/2023 |
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DDD-1164A | Attendant Care Progress Notes (English) | 08/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
GCI-1033A | Transition Conference Summary | 05/01/2023 |
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FAA-0412A-XLP | Change Report - Extra Large Print (English) | 05/01/2023 |
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FAA-1546A-S | Información de Determinar a un Patrocinador | 05/01/2023 |
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CCA-0221A | Family Child Care Provider Statement of Services | 05/01/2023 |
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FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
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GCI-1033A-S | Resumen de la Conferencia de Transición | 05/01/2023 |
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FAA-0412A-LP | Change Report - Large Print (English) | 05/01/2023 |
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FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
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CCA-0221A-S | Declaración de Servicios del Proveedor de Cuidado en Casa de Familia | 05/01/2023 |
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FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
Five Year Strategic Plan SFY 2018 - 2022 | Five Year Strategic Plan SFY 2018 - 2022 | 12/29/2017 |
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Statistical Bulletin November 2017 | Statistical Bulletin November 2017 | 12/14/2017 |
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APS SFY 2017 | Adult Protective Services Annual Activity 2017 Report | 12/01/2017 |
|
Statistical Bulletin October 2017 | Statistical Bulletin October 2017 | 11/28/2017 |
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30th Month Sep 2017 | 30th Month Financial Report FY-2018 through Sep-2017 | 11/20/2017 |
|
30th Month Aug-2017 | 30th Month Financial Report FY-2018 through Aug-2017 | 11/07/2017 |
|
GCBVI 2017 | Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2017 | 10/26/2017 |
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30th Month Jun-2017 | 30th Month Report June Fiscal Year 2017 | 10/18/2017 |
|
Statistical Bulletin September 2017 | Statistical Bulletin September 2017 | 10/17/2017 |
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SNA & ET State Plan 2017 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2017 | 10/12/2017 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
AAA-1340A-S | Arizona Family Caregiver Reimbursement Program (Spanish) | 06/01/2022 |
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EAP-1001A | AZDES LIHEAP Energy Conservation Kit Guide | 05/20/2022 |
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WIO-1162A | Arizona Job Connection | 05/01/2022 |
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WIO-1171A | Strengths | 05/01/2022 |
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WIO-1162B | Arizona Job Connection (SCC) | 05/01/2022 |
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WIO-1171B | Strengths (SCC) | 05/01/2022 |
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WIO-1163A | Attitude | 05/01/2022 |
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WIO-1172A | Telephone Etiquette | 05/01/2022 |
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AD-475-B | And Justice for all | 05/01/2022 |
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WIO-1163B | Attitude (SCC) | 05/01/2022 |
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