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Download Number Form Name Effective Date
CCA-1186A Authority to Release Information 07/01/2019
CCA-1196A Potential Overpayment Referral 07/01/2019
CCA-1227A Maximum Reimbursement Rates for Child Care 06/01/2019
CCA-1264A Application Completeness Review Checklist 05/01/2019
CC-024A Employment and Wage Verification Statement 10/01/2018
CC-024A-S Declaración de Verificación de Sueldo y Empleo 10/01/2018
CC-228 Self-Employment Budget Record 10/01/2018
CC-228-S Registro Presupuestario de empleo propio 10/01/2018
CCA-1161A Self-Sufficiency Statement 09/01/2018
CCA-1161A-S Declaración de Autosuficiencia 09/01/2018

Download Number Form Name Effective Date
EEO Utilization Report Equal Employment Opportunity Utilization Report 08/16/2019
Statistical Bulletin July 2019 Statistical Bulletin July 2019 08/14/2019
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
Statistical Bulletin June 2019 Statistical Bulletin June 2019 07/15/2019
SSBG Plan 2019-2020 Social Services Block Grant Plan 2019-2020 07/01/2019
6AAC2 Five-Year Review Report - Employment and Training 06/28/2019
6AAC5-Article-52 Five-Year Review Report - Child Care Assistance 06/28/2019
Statistical Bulletin May 2019 Statistical Bulletin May 2019 06/14/2019

Download Number Form Name Effective Date
WIO-1064A Joint Guidance for Limitations on Use of Subminimum Wage 07/26/2017
The Emergency Food Assistance Program Policy and Procedure Manual The Emergency Food Assistance Program Policy and Procedure Manual 05/24/2017
DES 1-01-14-01 Director's Office of Equal Opportunity Procedures: Client Complaint Process 02/24/2017
DES 1-01-14 Office of Equal Opportunity: Client Complaints 08/29/2016
DES_1-92-03 Tribal Government Consultation 10/06/2014
DES 1-01-34 Limited English Proficiency 08/08/2014
DES 1-01-12 Americans with Disabilities Act (ADA) Title II 03/15/2013
DES 1-01-12-01S Procedimientos del Título II de la Ley de Estadounidenses con Discapacidades 03/15/2013
DES 1-01-12S Ley de Estadounidenses con Discapacidades - Título II 03/15/2013

Download Number Form Name Effective Date
POX-248-S Aviso sobre la Ley de Estadounidenses con Discapacidades 11/01/2019
DDD-1721A Building a Relationship with a Direct Care Worker 08/01/2019
FAA-0032A-XLP Information Needed to Complete Your Case (English/Spanish - Extra Large Print) 07/01/2019
RSA-1213A-LP Disability Benefits 101 (Large Print) 07/01/2019
DDD-1694A Out-of-Home Placement for Children 07/01/2019
FAA-0032A Information Needed to Complete Your Case (English/Spanish) 07/01/2019
RSA-1213A-LPS Beneficios por discapacidad en Arizona 101 (Letra Grande) 07/01/2019
CSE-1251A Fact Sheet for Minor Parents (English/Spanish) 07/01/2019
DDD-1954A DDD Engagement 07/01/2019
CCA-1230A Avoiding the Child Care Waiting List 07/01/2019


Download Number Form Name Effective Date
CCA-1196A Potential Overpayment Referral 07/01/2019
CCA-1230A Avoiding the Child Care Waiting List 07/01/2019
CCA-1230A-S Evitar la lista de espera para el cuidado de niños 07/01/2019
CCA-1186A Authority to Release Information 07/01/2019
CCA-1227A Maximum Reimbursement Rates for Child Care 06/01/2019
CCA-1264A Application Completeness Review Checklist 05/01/2019
CCA-1253A Choosing Quality Child Care (English/Spanish) 04/01/2019
PAY-519 Child Care Programs (FY19) 04/01/2019
PAY-519-S Programas de Cuidado de Niños (FY19) 04/01/2019
DES-1139A Services by DES 03/28/2019

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