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You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services. 

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Download Number Form Name Effective Date
UB-099-Y Certification of Understanding (Eng/Span) 07/01/2019
CCA-1261A Certified Family Child Care Provider Application 07/01/2019
DDD-1972A Application for Eligibility Determination Packet 07/01/2019
CCA-1186A Authority to Release Information 07/01/2019
FAA-0574A Withdrawal or Stop Benefits/Appeal Request 07/01/2019
OEO-1011A One-Stop Centers Monitoring Checklist for ADA Compliance 07/01/2019
RSA-1312A Authorization for Disclosure of Health Information to RSA 07/01/2019
FAA-0001A Application for Benefits 07/01/2019
RSA-1312A-S Autorización Para Divulgación De Información De Salud a RSA 07/01/2019
FAA-0001A-S Solicitud de Beneficios 07/01/2019

Download Number Form Name Effective Date
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
Statistical Bulletin March 2018 Statistical Bulletin March 2018 04/17/2018
30th Month Feb-2018 30th Month Financial Report FY-2018 through Feb-2018 03/30/2018
Statistical Bulletin February 2018 Statistical Bulletin February 2018 03/26/2018
30th Month Jan-2018 30th Month Financial Report FY-2018 through Jan-2018 03/16/2018
Statistical Bulletin January 2018 Statistical Bulletin January 2018 02/28/2018
30th Month Dec 2017 30th Month Financial Report FY-2018 through Dec-2017 02/28/2018
2017 Homeless Lottery Funds Report 2017 Homeless Lottery Funds Report 02/01/2018

No results available.

Download Number Form Name Effective Date
GCI-1093A What to Expect from Team Based Early Intervention 03/01/2019
WIO-1113A Workforce Reentry Program 03/01/2019
AAA-1289A Family Caregiver Support Program 03/01/2019
GCI-1093A-S Lo que debe esperarse de Intervención Temprana basada en equipo 03/01/2019
AAA-1289A-S Programa de Apoyo a los Cuidadores de Familia 03/01/2019
WIO-1114A Second Chance Centers 03/01/2019
UIT-1190A UI Tax Online Reporting 03/01/2019
FAA-1700A SAW Contact Card 02/01/2019
ESA-1322A-S El Programa Militar de Hilton HHonors 02/01/2019
ESA-1322A The Hilton Honors Military Program 02/01/2019


Download Number Form Name Effective Date
FAA-1494A-XLP Authorized Representative Removal (Extra Large Print) 08/01/2019
FAA-0412A-LP Change Report (Large Print) 08/01/2019
RSA-1376A Request for Vending Services Placement 08/01/2019
POU-003 Notice to Employees 08/01/2019
FAA-1701A-LP Verification of Terminated Employment (Large Print) 08/01/2019
FAA-0412A-XLP Change Report (Extra Large Print) 08/01/2019
FAA-1493A Authorized Representative Request 08/01/2019
30th Month Mar 2019 30th Month Financial Report FY 2019 through Mar 2019 07/26/2019
30th Month Apr 2019 30th Month Financial Report FY 2019 through Apr 2019 07/26/2019
30th Month May 2019 30th Month Financial Report FY 2019 through May 2019 07/26/2019

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