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| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
UB-105-S | Reclamo Inicial para Seguro por Desempleo en Arizona | 03/01/2018 |
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WIO-1040A | Training Provider Assurances | 03/01/2018 |
|
UC-514 | Report of Changes Form | 03/01/2018 |
|
DD-099-A | Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old | 03/01/2018 |
|
UB-113 | Combined-Wage Claim Withdrawal | 03/01/2018 |
|
CC-225 | Verification of Unable\Unavailable Status | 03/01/2018 |
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DD-099-B | Pre-PAS Screening Tool for Members at Least 2 Years 10 Months Old, But Less than 6 Years Old | 03/01/2018 |
|
UIA-1004A | Bulk Filer Application | 03/01/2018 |
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 03/01/2018 |
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UB-113-S | Retiro de Solicitud de Salario - Combinado | 03/01/2018 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
GCBVI 2017 | Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2017 | 10/26/2017 |
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30th Month Jun-2017 | 30th Month Report June Fiscal Year 2017 | 10/18/2017 |
|
Statistical Bulletin September 2017 | Statistical Bulletin September 2017 | 10/17/2017 |
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SNA & ET State Plan 2017 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2017 | 10/12/2017 |
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SNA & ET State Plan 2018 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2018 | 10/12/2017 |
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2017 Child Care Report to JLBC | 2017 Child Care Report to JLBC | 10/05/2017 |
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Statistical Bulletin August 2017 | Statistical Bulletin August 2017 | 09/26/2017 |
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CSFP Policy and Procedure Manual | CSFP Policy and Procedure Manual | 09/20/2017 |
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Arizona CSFP State Plan FFY 2018 | Arizona CSFP State Plan FFY 2018 | 09/20/2017 |
|
DES Welfare-2017 | DES Welfare Report 2017 | 09/01/2017 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
DDD-1260A-S | Navegando el Sistema | 02/01/2018 |
|
Civil Rights Day | Civil Rights Day | 01/15/2018 |
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PAD-465-C | Definitions for AHCCCS Members | 01/01/2018 |
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DDD-1474A | Division Offices / Oficinas De La División | 01/01/2018 |
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CSE-1177A | Making Your IV-D Child Support Payments | 12/01/2017 |
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POX-248 | Americans with Disabilities Act Notice | 11/01/2017 |
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AAA-1283A | Adult Protective Services (APS) | 11/01/2017 |
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DDD-1551A - Postcard | Medallion Program - Postcard | 11/01/2017 |
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TAA-1060A | Set Your Sights High | 11/01/2017 |
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DDD-1551A-S - Tarjeta Postal | Programa de Medalla de Identificación - Tarjeta Postal | 11/01/2017 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
FAA-1549A | Merchant Restaurant Meals Program | 04/01/2018 |
|
RSA-1312A | Authorization for Disclosure of Health Information to RSA | 04/01/2018 |
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RSA-1312A-S | Autorización para Divulgación de Información de Salud a la RSA | 04/01/2018 |
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FA-526 | Potential Overpayment (OP) Referral | 04/01/2018 |
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RSA-1313A | Authorization for Release of RSA Records | 04/01/2018 |
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DDD-1401A | Center Based Employment - Quarterly Report | 04/01/2018 |
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RSA-1313A-S | Autorización de Divulgación de Registros de RSA | 04/01/2018 |
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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 |
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30th Month Jan-2018 | 30th Month Financial Report FY-2018 through Jan-2018 | 03/16/2018 |
