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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
FAA-1111A-XLP Participant Statement Verification Worksheet (Extra Large Print) 01/01/2020
FAA-1145A Authorization to Share Information (English/Spanish) 01/01/2020
FAA-0053A-LP Verification of New/Current Employment (Large Print) 01/01/2020
LCR-1084A Application for Renewal or Amended HCBS Certificate for Independent Providers 01/01/2020
FAA-0053A-XLP Verification of New/Current Employment (Extra Large Print) 01/01/2020
FAA-1523A Cash Programs Personal Responsibility Agreement (PRA) 01/01/2020
HRP-1039A-S Programa Suplementario de Comestibles Básicos (CSFP) Derechos y obligaciones del participante 01/01/2020
HRP-1028A Application for Benefits (TEFAP, CSFP) 01/01/2020
FAA-1148A Medical Incapacity Statement (Hospitalized Applicant) 01/01/2020
LCR-1084A-S Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes 01/01/2020

Download Number Form Name Effective Date
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
Statistical Bulletin April 2019 Statistical Bulletin April 2019 06/03/2019
SNA & ET State Plan 2019 Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2019 06/01/2019

No results available.

Download Number Form Name Effective Date
FAA-1759A Don't Take a Chance...Report a Change! 01/01/2020
FAA-1758A FNS Certification Flyer (English/Spanish) 01/01/2020
FAA-1760A Don't Take a Chance...Report a Change! (Poster) 01/01/2020
AAA-1341A Local Medicare Help 01/01/2020
FAA-1759A-S No se arriesgue...¡Informe los cambios! 01/01/2020
EAA-1008A E75 Diversity Builder Recognition Award Save the Date 01/01/2020
AAA-1340A Arizona Family Caregiver Reimbursement Program (English/Spanish) 12/16/2019
DDD-2045A DDD Member Councils 12/04/2019
DDD-2045A-S Consejos de miembros de la DDD 12/04/2019
TAA-1087A Trade Adjustment Assistance Program 12/01/2019


Download Number Form Name Effective Date
RSA-1242A-LP Vocational Rehabilitation Transition (Large Print) 02/01/2020
DDD-1500A ALTCS Member Service Plan 02/01/2020
AZ-CSFP Arizona Commodity Senior Food Program (CSFP) State Plan 01/14/2020
30th Month November 2019 30th Month Financial Report FY 2019 through November 2019 01/07/2020
Annual Report on Homelessness 2019 Annual Report on Homelessness 2019 01/06/2020
2019 Homeless Lottery Funds Report 2019 Homeless Lottery Funds Report 01/06/2020
HRP-1039A-S Programa Suplementario de Comestibles Básicos (CSFP) Derechos y obligaciones del participante 01/01/2020
CSE-1299A DCSS Resource Customer Guide 01/01/2020
FAA-1546A Sponsor Deeming Information 01/01/2020
FAA-1546A-S Información de Determinar a un Patrocinador 01/01/2020

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