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Download Number Name Effective Date
CCA-1095A State of AZ Substitute W-9 form-Request for Taxpayer Identification and Certification 04/01/2004
CCA-1095AS State of AZ Substitute W-9 form-Request for Taxpayer Identification and Certification (Spanish) 04/01/2004
CC-208 Provider/Parent/Guardian's Agreement for Child Care Charges 05/01/2011
CC-208-S Acuerdo del Proveedor/Padre/Madre/Guardian - Acerca de los Costos de Cuidado de Niños 05/01/2011
CC-221-FF Family Child Care Provider Statement of Services 09/01/2011
CC-221-FFS Declaración de Servicios del Proveedor de Cuidado en Casa de Familia 09/01/2011
CC-005-FF Log of Accidents, Injuries or Illnesses (Eng/Span) 09/01/2011
CCA-1163A Affidavit of Immunization Exemption - For Household Members Age 13 and Younger 09/01/2011
CCA-1163AS Affidávit de Exendión de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores 09/01/2011
CCA-1164A Affidavit of Immunization Exemption - For Children in Care 09/01/2011

Download Number Name Effective Date
DES Welfare-2000 DES Welfare Report 2000 12/31/2000
DES Welfare-2001 DES Welfare Report 2001 12/31/2001
Annual Report 2000-2001 2000-2001 DES Annual Report 01/18/2002
CCA Market Rate Survey 02 Child Care Market Rate Survey 2002 12/01/2002
Annual Report 2001-2002 2001-2002 DES Annual Report 12/31/2002
DES Welfare-2002 DES Welfare Report 2002 12/31/2002
Aging Plan 2004-2006 Arizona State Plan on Aging 2004-2006 10/01/2003
DES Welfare-2003 DES Welfare Report 2003 12/31/2003
Annual Report 2002-2003 2002-2003 DES Annual Report 02/02/2004
Annual Report on Homelessness 2004 13th Annual Report on Homelessness December 2004 12/01/2004

Download Number Name Effective Date
DES 1-01-14-01 Director's Office of Equal Opportunity Procedures: Client Complaint Process 08/29/2016
DES 1-01-14 Office of Equal Opportunity: Client Complaints 08/29/2016
WIO-1064A Joint Guidance for Limitations on Use of Subminimum Wage 07/26/2017
CCA Emergency & Disaster Preparedness Plan Child Care Administration Emergency and Disaster Preparedness Plan 09/30/2019
DES-1-92-03-01 Tribal Government Consultation Procedures 04/14/2020
DES-1-92-03 Tribal Government Consultation Policy 04/14/2020
DES 1-01-12-01 Americans with Disabilities Act - Title 2 Procedures 02/05/2021
DES 1-01-34-01 Limited English Profiency Procedures 02/05/2021
DES 1-01-12 Americans with Disabilities Act (ADA) Title II 02/05/2021
DES 1-01-12-01S Procedimientos del Título II de la Ley de Estadounidenses con Discapacidades 02/05/2021

Download Number Name Effective Date
PAY-066 Child Care Homes 09/01/2002
AAA-1041A A Guide for Caregivers 10/01/2002
AAA-1075A Assisted Living Residents Rights 07/01/2005
FA-155-2-FFS Trasfondo del Empleo/Capacitación Más Reciente 01/01/2006
Register Data Security Register for Basic Data Security 09/27/2007
AAA-1073A Family Caregiver Support Program 11/01/2007
DES-1049A We Will Give You Help 09/01/2008
DES-1049AS Le Podemos Ayudar 09/01/2008
AAA-1034AS Arizona Long Term Care Ombudsman Program (Spanish) 09/01/2008
AAA-1153A Be a Direct Care Professional! 10/01/2008


No results available.


Download Number Name Effective Date
PAY-066 Child Care Homes 09/01/2002
CCA-1095A State of AZ Substitute W-9 form-Request for Taxpayer Identification and Certification 04/01/2004
CCA-1095AS State of AZ Substitute W-9 form-Request for Taxpayer Identification and Certification (Spanish) 04/01/2004
CC-208 Provider/Parent/Guardian's Agreement for Child Care Charges 05/01/2011
CC-208-S Acuerdo del Proveedor/Padre/Madre/Guardian - Acerca de los Costos de Cuidado de Niños 05/01/2011
CC-221-FF Family Child Care Provider Statement of Services 09/01/2011
CC-221-FFS Declaración de Servicios del Proveedor de Cuidado en Casa de Familia 09/01/2011
CC-005-FF Log of Accidents, Injuries or Illnesses (Eng/Span) 09/01/2011
CCA-1163A Affidavit of Immunization Exemption - For Household Members Age 13 and Younger 09/01/2011
CCA-1163AS Affidávit de Exendión de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores 09/01/2011

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