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Download Number Form Name Effective Date
DDD-2034A Subcontractors KPI Annual Data Submissions Template 10/01/2019
CSE-1160A Request to Close Child Support Case (Eng/Span) 10/01/2019
CCA-1200A-S El Mejor Cuidado 10/01/2019
DDD-2036A Member Funds Monthly Ledger 10/01/2019
CSE-1277A Return Documents Form 10/01/2019
DDD-1736A Interest Notification 10/01/2019
GCI-1041A-S Consentimiento para el Uso del Seguro de Salud 09/01/2019
RSA-1383A BEP Training - Applicant Checklist 09/01/2019
SNA-1000A-S Derechos y Responsabilidades (Programa de Empleo y Capacitacion de las Asistencia Nutricional Suplementaria [SNA E&T]) 09/01/2019
RSA-1386A BEP 8 Step Process 09/01/2019

Download Number Form Name Effective Date
30th Month Jan 2019 30th Month Financial Report FY 2019 through Jan 2019 03/21/2019
WIOA 2017 Annual Report WIOA Annual Statewide Performance Report for Title I and Title III for PY-2017 03/14/2019
Statistical Bulletin January 2019 Statistical Bulletin January 2019 02/28/2019
30th Month Nov 2018 30th Month Financial Report FY-2019 through Nov-2018 02/15/2019
30th Month Dec-2018 30th Month Financial Report FY-2019 through Dec-2018 02/15/2019
Statistical Bulletin December 2018 Statistical Bulletin December 2018 01/23/2019
Annual Report on Homelessness 2018 Annual Report on Homelessness 2018 01/01/2019
2018 Homeless Lottery Funds Report 2018 Homeless Lottery Funds Report 01/01/2019
APS SFY 2018 Adult Protective Services Annual Activity 2018 Report 01/01/2019
Five Year Strategic Plan SFY 2019 - 2023 Five Year Strategic Plan SFY 2019 - 2023 01/01/2019

No results available.

Download Number Form Name Effective Date
CCA-0519A-S Programas de Cuidado de Niños (FY19) 09/01/2019
WIO-1130A-S Presentar una Queja 09/01/2019
DES-1139A Services Provided by DES 09/01/2019
WIO-1131G SNAP CAN Desert Poster 7 09/01/2019
RSA-1385A BEP Guide for New VR Clients 09/01/2019
Escalation Criteria for Contract Action Unit Review Escalation Criteria for Contract Action Unit Review 08/26/2019
DDD-1721A Building a Relationship with a Direct Care Worker 08/01/2019
AAA-0525A Residents’ Rights 08/01/2019
POU-003 Notice to Employees 08/01/2019
POU-003-S Aviso a los Empleados 08/01/2019


Download Number Form Name Effective Date
CSE-1043A What Every Parent Should Know About Establishing Paternity 10/01/2019
CCA-0218A Sign-In/Sign-Out Record 10/01/2019
CSE-1156A Affidavit of Receipt of Direct Payments / Afidávit del Recibo de Pagos Directos 10/01/2019
FAA-0077A-S Solicitud de Información y Acuerdo para Proporcionar Información que Falta 10/01/2019
CSE-1043A-S ​Lo Que Todos Los Padres Deben Saber Sobre el Establecimiento de la Paternidad 10/01/2019
CCA-0218B Sign-In/Sign-Out Record (Extended Version) 10/01/2019
DDD-0465A Arizona Long Term Care System (ALTCS) Member Handbook 10/01/2019
FAA-0077A Information Request and Pending Information Agreement 10/01/2019
CSE-1160A Request to Close Child Support Case (Eng/Span) 10/01/2019
CCA-0218B-S Registro de Entradas y Salidas (Versión extendida) 10/01/2019

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