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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 |
|---|---|---|---|
|
DDD-1405A | Transition to Employment - Quarterly Report | 05/01/2018 |
|
GCI-1109A | Consent to Share Early Intervention Referral and Initial IFSP Date | 05/01/2018 |
|
DDD-1402C | Group Supported Employment – Quality Assurance Review | 05/01/2018 |
|
UB-217C | Wage Protest | 05/01/2018 |
|
DDD-1403A | Individual Supported Employment - Quarterly Report | 05/01/2018 |
|
RSA-1312A | Authorization for Disclosure of Health Information to RSA | 05/01/2018 |
|
DDD-1405B | Transition To Employment - Six Month Report | 05/01/2018 |
|
DDD-1403B | Individual Supported Employment - Six Month Report | 05/01/2018 |
|
CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers | 05/01/2018 |
|
FAA-1249A | Verification of Disability | 05/01/2018 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
Statistical Bulletin June 2017 | Statistical Bulletin June 2017 | 07/26/2017 |
|
30th Month May-2017 | 30th Month Report May Fiscal Year 2017 | 07/14/2017 |
|
SSBG Plan 2017-2018 | Social Services Block Grant Plan 2017-2018 | 07/01/2017 |
|
30th Month Apr-2017 | 30th Month Report April Fiscal Year 2017 | 06/21/2017 |
|
Statistical Bulletin May 2017 | Statistical Bulletin May 2017 | 06/14/2017 |
|
CSA-1075A | Domestic Violence Monies Dec 2016 | 06/01/2017 |
|
2016 Homeless Lottery Funds Report | 2016 Homeless Lottery Funds Report | 06/01/2017 |
|
APS SFY 2016 | Adult Protective Services Annual Activity 2016 Report | 06/01/2017 |
|
6AAC3 | Five-year Review Report – Unemployment Insurance | 05/27/2017 |
|
Early Intervention Program Determinations FFY 2015 | Early Intervention Program Determinations FFY 2015 | 05/25/2017 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
POX-248 | Americans with Disabilities Act Notice | 11/01/2017 |
|
POX-248-S | Notificación Sobre la Ley de Estadounidenses con Discapacidades | 11/01/2017 |
|
AAA-1283A | Adult Protective Services (APS) | 11/01/2017 |
|
DDD-1551A - Postcard | Medallion Program - Postcard | 11/01/2017 |
|
PAD-465-B | Stuffer for PAD-465 -Change in Coverage of Emergency Dental Benefits | 10/01/2017 |
|
CCA-1116A (FY18) | Child Care Assistance Priority Waiting List Income Table (FY18) | 09/01/2017 |
|
DAD-1004A | [email protected] Job Center - Use it! | 09/01/2017 |
|
PAY-519 | Child Care Programs (FY18) | 09/01/2017 |
|
DAD-1004A-S | [email protected] Job Center - ¡Úselo! | 09/01/2017 |
|
PAY-519-S | Programas de Cuidado de Niños (FY18) | 09/01/2017 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
DDD-1401A | Center Based Employment - Quarterly Report | 05/01/2018 |
|
CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers | 05/01/2018 |
|
CCA-1141A-S | Inscripción con Depósito Directo para Proveedores o Parientes Autorizados Por el DES | 05/01/2018 |
|
DD-097 | Pre-Service Provider Orientation | 05/01/2018 |
|
DD-640-S | ¿Quién es Elegible? | 05/01/2018 |
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FAA-1359A | Arizona Disaster Nutrition Assistance Program (DNAP)/Forms and Desk Aids | 05/01/2018 |
|
DD-097-1-FFS | Orientación del Proveedor Previa al Servicio | 05/01/2018 |
|
DDD-1405C | Transition To Employment - Quality Assurance Review | 05/01/2018 |
|
HRP-1007A | Commodity Transfer Report | 05/01/2018 |
|
DDD-1402C | Group Supported Employment – Quality Assurance Review | 05/01/2018 |
