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Download Number Form Name Effective Date
DDD-1532A Hardship Reduction Request 09/01/2019
​FAA-0412A-SLP ​Informe de Cambios (Letra Grande) 09/01/2019
CCA-1116A Child Care Assistance Priority Waiting List Income Table 09/01/2019
​FAA-0412A-S ​Informe de Cambios 09/01/2019
FAA-1439A Self-Employment Income Statement 09/01/2019
​FAA-0412A-XLP ​Change Report (Extra Large Print) 09/01/2019
GCI-1041A Consent to Bill Health Insurance 09/01/2019
DDD-1620A Home Modification Service Property Owner Authorization for Home Modifications 09/01/2019
​FAA-0412A-LP ​Change Report (Large Print) 09/01/2019
DDD-1532A-S Solicitud de Reducción Debido a Dificultad Económica 09/01/2019

Download Number Form Name Effective Date
Family Support Program 2017 DDD Family Support Program Annual Report 2017 07/16/2018
30th Month May-2018 30th Month Financial Report FY-2018 through May-2018 07/06/2018
SSBG Plan 2018-2019 Social Services Block Grant Plan 2018-2019 07/01/2018
CCA Market Rate Survey 18 Child Care Market Rate Survey 2018 07/01/2018
6AAC11 Five-Year-Review Report - The Job Training Partnership Act 06/30/2018
6AAC4 Five-Year-Review Report - Rehabilitation Services 06/30/2018
6AAC1 Five-Year Review Report - Department of Economic Security 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

No results available.

Download Number Form Name Effective Date
UIB-1240A A Guide to Arizona UI Benefits 07/01/2019
CSE-1251A Fact Sheet for Minor Parents (English/Spanish) 07/01/2019
DDD-1954A DDD Engagement 07/01/2019
UIB-1240A-S Una Guía a los Beneficios en Arizona - Beneficios de Seguro de Desempleo 07/01/2019
DDD-1713A DDD Customer Service Center 07/01/2019
DDD-1713A-S Centro de Servicio al cliente de la DDD 07/01/2019
CCA-1230A Avoiding the Child Care Waiting List 07/01/2019
DDD-2025A American Indian Health Plan Fee-for-Service Claims Submission Guide 07/01/2019
CCA-1230A-S Evitar la lista de espera para el cuidado de niños 07/01/2019
DDD-1694A Out-of-Home Placement for Children 07/01/2019


Download Number Form Name Effective Date
CSE-1160A Request to Close Child Support Case (Eng/Span) 10/01/2019
FAA-0077A-LP Information Request and Pending Information Agreement (Large Print) 10/01/2019
FAA-0077A-SLP Solicitud de Información y Acuerdo para Proporcionar Información que Falta (Letra Grande) 10/01/2019
DDD-0465A Arizona Long Term Care System (ALTCS) Member Handbook 10/01/2019
CSE-1156A Affidavit of Receipt of Direct Payments / Afidávit del Recibo de Pagos Directos 10/01/2019
FAA-0077A-S Solicitud de Información y Acuerdo para Proporcionar Información que Falta 10/01/2019
CSE-1043A What Every Parent Should Know About Establishing Paternity 10/01/2019
CCA-1200A-S El Mejor Cuidado 10/01/2019
CCA-0218A Sign-In/Sign-Out Record 10/01/2019
FAA-0077A Information Request and Pending Information Agreement 10/01/2019

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