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Download Number Form Name Effective Date
UB-400 Shared Work Unemployment Compensation - Information and Application 07/01/2018
LCR-1005A-S Aviso de los Derechos Durante Inspección 07/01/2018
AAA-1301A-S Servicios de Protección al Adulto (APS) Solicitud de Registros 07/01/2018
FAA-1004A Designation of EBT Alternate Card Holder 07/01/2018
CCA-1015A Withdrawal or Termination Request 07/01/2018
CCA-1015A-S Solicitud de Retiro o Terminación 07/01/2018
FAA-1004A-S Designación de Titular Sustituto para la Tarjeta de EBT 07/01/2018
FAA-1533A Verification of Unfitness for Work for Adults 07/01/2018
LCR-1005A Notice of Inspection Rights 07/01/2018
GCI-1109A Consent to Share Early Intervention Referral and Initial IFSP Date 06/01/2018

Download Number Form Name Effective Date
30th Month Aug-2014 30th Month Report August Fiscal Year 2014 10/30/2013
30th Month 13th 2013 30th Month Report 13th Fiscal Year 2013 10/28/2013
Statistical Bulletin September 2013 Statistical Bulletin September 2013 10/15/2013
2013 Child Care Report to JLBC 2013 Child Care Report to JLBC 10/03/2013
Family Support Program 2013 DDD Family Support Program Annual Report 2013 10/02/2013
WIA 2012 Annual Report Arizona PY12 WIA Title IB Annual Report 10/01/2013
State Performance Plan FFY 2012 FFY 2012 AzEIP Annual Performance Report 09/30/2013
State Performance Plan, FFY 2005-2013 AzEIP State Performance Plan, 2005-2013 09/30/2013
Child Care and Development Fund Plan FFY2014-2015 Child Care and Development Fund Plan FFY2014-2015 09/20/2013
Statistical Bulletin August 2013 Statistical Bulletin August 2013 09/12/2013

No results available.

Download Number Form Name Effective Date
PPP-1122A Limited English Proficiency (LEP) Flyer 10/01/2010
OPE-1008A Office of Program Evaluation 09/01/2009
OPE-1008AS Office of Program Evaluation (Spanish) 09/01/2009
AAA-1139A Break the Silence-Report Elder Abuse 04/29/2009
FAA-1403A Nutrition Assistance Benefits Increase Poster 03/01/2009
FA-155-1-FFS Trasfondo del Empleo/Capacitación Más Reciente 11/01/2008
AAA-1153A Be a Direct Care Professional! 10/01/2008
AAA-1034AS Arizona Long Term Care Ombudsman Program (Spanish) 09/01/2008
DES-1049A We Will Give You Help 09/01/2008
DES-1049AS Le Podemos Ayudar 09/01/2008


Download Number Form Name Effective Date
HRP-1027A USDA Compliance Review 01/01/2019
DDD-1945A-S Coordinación de Apoyo y Usted 01/01/2019
CCA-1251A DES Certified Family Child Care – Informational Flyer 01/01/2019
HRP-1017A Request to Terminate USDA Distribution Site 01/01/2019
HRP-1047A Arizona Commodity Senior Food Program (CSFP) 01/01/2019
Annual Report on Homelessness 2018 Annual Report on Homelessness 2018 01/01/2019
GCI-1021E Individualized Family Service Plan (IFSP) Transition 01/01/2019
2018 Homeless Lottery Funds Report 2018 Homeless Lottery Funds Report 01/01/2019
GCI-1021E-S Plan Individualizado De Servicio Familiar (IFSP) Transición 01/01/2019
GCI-1037A Public Education Agency (PEA) Notification/Referral 01/01/2019

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