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Download Number Form Name Effective Date
SNA-1000A-S Derechos y Responsabilidades (Programa de Empleo y Capacitacion de las Asistencia Nutricional Suplementaria [SNA E&T]) 09/01/2019
FAA-1111A Participant Statement Verification Worksheet 06/01/2019
GCI-1098A AzEIP Public Awareness Materials Order Form 06/01/2019
FAA-1111A-S Hoja para Verificar la Declaración del Participante 06/01/2019
UIB-1091A Information Regarding Direct Deposit/Agreement for Direct Deposit 06/01/2019
ESA-1338A Language Line Translation Services Utilized 06/01/2019
UIB-1091A-S Información Relacionada a Depósitos Directos en su Cuenta Bancaria 06/01/2019
HRP-1039A Commodity Senior Food Program (CSFP) Participant Rights and Obligations 06/01/2019
CCA-1227A Maximum Reimbursement Rates for Child Care 06/01/2019
HRP-1028A-S Solicitud para Beneficios (TEFAP, CSFP) 06/01/2019

Download Number Form Name Effective Date
SSBG Plan 2019-2020 Social Services Block Grant Plan 2019-2020 07/01/2019
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
30th Month Feb 2019 30th Month Financial Report FY 2019 through Feb 2019 05/13/2019
Statistical Bulletin March 2019 Statistical Bulletin March 2019 05/03/2019
Statistical Bulletin February 2019 Statistical Bulletin February 2019 03/29/2019
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

Download Number Form Name Effective Date
WIO-1064A Joint Guidance for Limitations on Use of Subminimum Wage 07/26/2017
The Emergency Food Assistance Program Policy and Procedure Manual The Emergency Food Assistance Program Policy and Procedure Manual 05/24/2017
DES 1-01-14-01 Director's Office of Equal Opportunity Procedures: Client Complaint Process 02/24/2017
DES 1-01-14 Office of Equal Opportunity: Client Complaints 08/29/2016
DES_1-92-03 Tribal Government Consultation 10/06/2014
DES 1-01-34 Limited English Proficiency 08/08/2014
DES 1-01-12 Americans with Disabilities Act (ADA) Title II 03/15/2013
DES 1-01-12-01S Procedimientos del Título II de la Ley de Estadounidenses con Discapacidades 03/15/2013
DES 1-01-12S Ley de Estadounidenses con Discapacidades - Título II 03/15/2013

Download Number Form Name Effective Date
POX-248-S Aviso sobre la Ley de Estadounidenses con Discapacidades 11/01/2019
CSE-1251A Fact Sheet for Minor Parents (English/Spanish) 06/01/2019
ESA-1060A Reemployment Workforce Services 06/01/2019
ESA-1060A-S Servicios de Reintegración Laboral 06/01/2019
CSE-1299A DCSS Resource Customer Guide 06/01/2019
FAA-1407A Arizona WIC Reference Guide 05/01/2019
AAA-1324A Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing 05/01/2019
PAD-465D ALTCS Member Handbook Insert (English/Spanish) 05/01/2019
DDD-2010A Out-of-Network Claims Submission Guide 05/01/2019
FAA-1714A Mid Approval Contact (Lobby) 05/01/2019


Download Number Form Name Effective Date
POX-248-S Aviso sobre la Ley de Estadounidenses con Discapacidades 11/01/2019
SNA-1000A-S Derechos y Responsabilidades (Programa de Empleo y Capacitacion de las Asistencia Nutricional Suplementaria [SNA E&T]) 09/01/2019
SSBG Plan 2019-2020 Social Services Block Grant Plan 2019-2020 07/01/2019
Statistical Bulletin May 2019 Statistical Bulletin May 2019 06/14/2019
Statistical Bulletin April 2019 Statistical Bulletin April 2019 06/03/2019
UIB-1091A Information Regarding Direct Deposit/Agreement for Direct Deposit 06/01/2019
UIB-1091A-S Información Relacionada a Depósitos Directos en su Cuenta Bancaria 06/01/2019
SNA & ET State Plan 2019 Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2019 06/01/2019
CSE-1299A DCSS Resource Customer Guide 06/01/2019
WIO-1075A Transfer of Funds Request Form 06/01/2019

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