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| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
GCI-1041A | Consent to Bill Health Insurance | 03/01/2019 |
|
DDD-1985A | Personal Identification Information (PIF) | 03/01/2019 |
|
FA-559A | Food Distribution Program Participation | 03/01/2019 |
|
CS-167-S | Solicitud Del Título IV-D Para Servicios De Susento Para Menores Y Los Derechos Y Responsabilidades Del Solicitante | 03/01/2019 |
|
GCI-1021C | Child Indicators Summary | 03/01/2019 |
|
DDD-1985A-S | Información de Identificación Personal (PIF) | 03/01/2019 |
|
FAA-1530A | ABAWD Participation and Referral Notice | 03/01/2019 |
|
HRP-1052A | CFSP Notice of Action | 03/01/2019 |
|
CSE-1016A | Waiver of Paternity Affidavit (Eng/Span) | 03/01/2019 |
|
GCI-1021C-S | Resumen de los Indicadores del Niño/a | 03/01/2019 |
| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
Aging Plan 2019-2022 | Arizona State Plan on Aging 2019-2022 | 06/01/2018 |
|
Statistical Bulletin April 2018 | Statistical Bulletin April 2018 | 05/17/2018 |
|
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 |
|
30th Month Dec 2017 | 30th Month Financial Report FY-2018 through Dec-2017 | 02/28/2018 |
| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
AAA-1034A | Arizona Long-Term Care Ombudsman Program | 10/01/2018 |
|
HRP-1048A | The Emergency Food Assistance Program (TEFAP) | 10/01/2018 |
|
AAA-1035A | Arizona Long-Term Care Ombudsman Program | 10/01/2018 |
|
AAA-1304A | Home and Community Based Services | 09/01/2018 |
|
FAA-1642A | Continue Child Support Services/Servicios Continuos De Sustento Para Menores | 08/01/2018 |
|
AAA-1167A-S | Asistencia Legal para los Arizonenses de la Tercera Edad | 08/01/2018 |
|
Benefits of Establishing Paternity | CSE-1252A | 08/01/2018 |
|
CSE-1252A-S | Beneficios de Establecer la Paternidad | 08/01/2018 |
|
CSE-1067A | Unmarried Parents: Ask Yourself | 08/01/2018 |
|
AAA-1167A | Legal Assistance for Older Arizonans | 08/01/2018 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
HRP-1052A | CFSP Notice of Action | 03/01/2019 |
|
GCI-1093A | What to Expect from Team Based Early Intervention | 03/01/2019 |
|
GCI-1021C | Child Indicators Summary | 03/01/2019 |
|
GCI-1113A | Child Transfer Form | 03/01/2019 |
|
FAA-1530A-LP | ABAWD Participation and Referral Notice (Large Print) | 03/01/2019 |
|
GCI-1021C-S | Resumen de los Indicadores del Niño/a | 03/01/2019 |
|
UIT-1190A | UI Tax Online Reporting | 03/01/2019 |
|
CS-167-S | Solicitud Del Título IV-D Para Servicios De Susento Para Menores Y Los Derechos Y Responsabilidades Del Solicitante | 03/01/2019 |
|
FAA-1530A-LP-S | Aviso de Recomendación y Participación de ABAWD (Letra Grande) | 03/01/2019 |
|
DDD-1985A | Personal Identification Information (PIF) | 03/01/2019 |
