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Download Number Form Name Effective Date
AAA-1217A Monthly Legal Services Assistance Report 09/01/2018
DES-1077A-S Aviso Sobre Las Prácticas de Confidencialidad 09/01/2018
DD-191 Incident Report 09/01/2018
SNA-1000A Rights and Responsibilities 09/01/2018
DES-1077A-LP Notice of Privacy Practices (Large Print) 09/01/2018
DES-1077A-S-LP Aviso Sobre las Prácticas de Confidencialidad (Letra Grande) 09/01/2018
DDD-1749A Support Coordinator Guide to AAC Evaluation Referrals 09/01/2018
UB-010 Eligibility Review Questionnaire 09/01/2018
CC-229 (FY19) Child Care Assistance Gross Monthly Income Eligibility Chart and Fee Schedule (English/Spanish) 08/01/2018
DD-525-S Solicitud para la Determinación de Elegibilidad 08/01/2018

Download Number Form Name Effective Date
IDEA Part C Child Count FFY 2012 Child Count and Setting 2012 02/01/2013
Statistical Bulletin December 2012 Statistical Bulletin December 2012 01/30/2013
30th Month November 2013 30th Month Report November Fiscal Year 2013 01/15/2013
Annual Report 2011-2012 2011-2012 DES Annual Report 01/04/2013
Annual Report on Homelessness 2012 21st Annual Report on Homelessness December 2012 01/03/2013
Statistical Bulletin November 2012 Statistical Bulletin November 2012 12/28/2012
2012 Homeless Lottery Funds Report 2012 Homeless Lottery Funds Report 12/21/2012
APS SFY 2012 Adult Protective Services Annual Activity 2012 Report 12/12/2012
30th Month October 2013 30th Month Report October Fiscal Year 2013 12/10/2012
Statistical Bulletin October 2012 Statistical Bulletin October 2012 12/03/2012

No results available.

Download Number Form Name Effective Date
FA-155-1-FFS Trasfondo del Empleo/Capacitación Más Reciente 11/01/2008
AAA-1153A Be a Direct Care Professional! 10/01/2008
AAA-1034AS Arizona Long Term Care Ombudsman Program (Spanish) 09/01/2008
DES-1049A We Will Give You Help 09/01/2008
DES-1049AS Le Podemos Ayudar 09/01/2008
FAA-1200A What You Need to Know About AHCCCS Health Insurance Programs (English/Spanish) 04/01/2008
AAA-1073A Family Caregiver Support Program 11/01/2007
Register Data Security Register for Basic Data Security 09/27/2007
FA-155-2-FFS Trasfondo del Empleo/Capacitación Más Reciente 01/01/2006
AAA-1075A Assisted Living Residents Rights 07/01/2005


Download Number Form Name Effective Date
FAA-1375A Nutrition Assistance Posters 04/01/2019
DDD-1472C-S Paquete del Repaso Anual y Actualización del ISP (Menor en el hogar) 04/01/2019
UB-106A Weekly Claim for Unemployment Insurance (UI) Benefits 04/01/2019
DD-390 ISP Strategy 04/01/2019
DDD-1472D ISP - Annual Review and Update Packet (Targeted/DD Only - Age 3 and Above) 04/01/2019
UB-106A-S Reclamo Semanal para Beneficios de Seguro por Desempleo (UI por sus siglas en inglés) 04/01/2019
AAA-1301A Adult Protective Services (APS) Records Request Form 04/01/2019
DDD-1472D-S Paquete del Repaso Anual y Actualización del ISP (Enfocado/ Sólo para DD - 3 años y más de edad) 04/01/2019
FAA-0526A Potential Overpayment (OP) Referral 04/01/2019
FAA-1513A Time Saving Tips 04/01/2019

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