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Download Number Form Name Effective Date
CSE-1249A Father Matters Referral 04/01/2017
UB-106-T Continued Claim 04/01/2017
UB-106-T-S Reclamo Continuo 04/01/2017
CSE-1157A Non-Custodial Parent Request for Administrative Review (Eng/Span) 04/01/2017
FA-001-U Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 03/01/2017
PAU-210-S Información acerca del Trabajo Compartido para Empleados (Shared Work Information for Employees) 03/01/2017
UIA-1043A Registration for State Information Data Exchange System (SIDES) E-Response 03/01/2017
DDD-1753A Policy and Procedure Focused Review: Responsible Driving Tool/Transporting Members 03/01/2017
WIO-1057A H-2B Foreign Labor SWA Job Order Form 02/01/2017
DDD-1783A-S Habilitation Outcome Strategies (Spanish) 12/06/2016

Download Number Form Name Effective Date
Statistical Bulletin Oct 06 Statistical Bulletin Oct 2006 10/30/2006
2006 Child Care Report to JLBC Child Care Report to JLBC 2006 10/02/2006
Statistical Bulletin Sep 06 Statistical Bulletin Sep 2006 09/30/2006
Statistical Bulletin Aug 06 Statistical Bulletin Aug 2006 08/30/2006
Statistical Bulletin Jul 06 Statistical Bulletin Jul 2006 07/30/2006
Statistical Bulletin Jun 06 Statistical Bulletin Jun 2006 06/30/2006
Statistical Bulletin May 06 Statistical Bulletin May 2006 05/31/2006
Statistical Bulletin Apr 06 Statistical Bulletin Apr 2006 04/30/2006
Service Integration Service Integration: A Partnership for Safe and Stable Families in Arizona 01/05/2006
Annual Report 2004-2005 2004-2005 DES Annual Report 01/05/2006

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Download Number Form Name Effective Date
CC-001A Child Care Assistance Rights and Responsibilities 08/01/2018
Benefits of Establishing Paternity CSE-1252A 08/01/2018
CC-229 (FY19) Child Care Assistance Gross Monthly Income Eligibility Chart and Fee Schedule (English/Spanish) 08/01/2018
FA-065-FF Verification of Living Arrangements/Residential Address 08/01/2018
CC-001A-S Derechos y Responsabilidades de la Asistencia para Cuidado de Niños 08/01/2018
HRP-1033A Commodity Senior Food Program (CSFP) ID/Transfer Card 08/01/2018
DD-525-S Solicitud para la Determinación de Elegibilidad 08/01/2018
AAA-1283A Adult Protective Services (APS) 08/01/2018
FAA-1642A Continue Child Support Services/Servicios Continuos De Sustento Para Menores 08/01/2018
AAA-1167A Legal Assistance for Older Arizonans 08/01/2018

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