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Download Number Form Name Effective Date
SNA-1046A-S Informe Mensual de Actividades Laborales (Monthly Work Activity Report) 05/01/2019
FAA-0077A-LP Information Request and Pending Information Agreement (Large Print) 05/01/2019
RSA-1298A-S-LP Formulario De Recomendación (Letra Grande) 04/01/2019
FA-051 Verification of Financial Accounts 04/01/2019
FAA-1573A-XLP-S Derechos y Responsabilidades (Letra Extra Grande) 04/01/2019
FA-574-LP Withdrawal or Stop Benefits/Appeal Request (Large Print) 04/01/2019
FAA-1364A Application Processing Procedures 04/01/2019
FA-574-LP-S Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) 04/01/2019
FAA-1365A Definition of Terms 04/01/2019
FAA-1366A Eligibility Requirements 04/01/2019

Download Number Form Name Effective Date
Budget-FY2020 DES Budget Summary FY 2020 09/07/2018
30th Month June-2018 30th Month Financial Report FY-2018 through Jun-2018 09/05/2018
WIO-1082A WIOA Title I Program Year 16 Annual Report 08/29/2018
Statistical Bulletin July 2018 Statistical Bulletin July 2018 08/15/2018
Statistical Bulletin June 2018 Statistical Bulletin June 2018 07/25/2018
Family Support Program 2017 DDD Family Support Program Annual Report 2017 07/16/2018
30th Month May-2018 30th Month Financial Report FY-2018 through May-2018 07/06/2018
SSBG Plan 2018-2019 Social Services Block Grant Plan 2018-2019 07/01/2018
CCA Market Rate Survey 18 Child Care Market Rate Survey 2018 07/01/2018
6AAC1 Five-Year Review Report - Department of Economic Security 06/30/2018

No results available.

Download Number Form Name Effective Date
GCI-1093A What to Expect from Team Based Early Intervention 03/01/2019
AAA-1289A-S Programa de Apoyo a los Cuidadores de Familia 03/01/2019
GCI-1093A-S Lo que debe esperarse de Intervención Temprana basada en equipo 03/01/2019
BUF-032-LP Information Needed to Complete Your Case (English/Spanish) (Large Print) 02/01/2019
ESA-1322A-S El Programa Militar de Hilton HHonors 02/01/2019
ESA-1322A The Hilton Honors Military Program 02/01/2019
FAA-1700A SAW Contact Card 02/01/2019
Arizona County Demographics Handbook 2018 Arizona County Demographics Handbook 2018 01/09/2019
Arizona Legislative District Demographics Handbook 2018 Arizona Legislative District Demographics Handbook 2018 01/09/2019
CSE-1177A How to Make Your IV-D Child Support Payment (English/Spanish) 01/01/2019


Download Number Form Name Effective Date
FA-001 Application for Benefits 05/01/2019
FA-001-S Solicitud de Beneficios 05/01/2019
FAA-1494A-XLP Nutrition Assistance Authorized Representative Removal (Extra Large Print) 05/01/2019
FAA-1701A-LP Verification of Terminated Employment (Large Print) 05/01/2019
FAA-0077A-LP Information Request and Pending Information Agreement (Large Print) 05/01/2019
FAA-0077A-S-LP Solicitud de Información y Acuerdo para Proporcionar Información que Falta (Letra Grande) 05/01/2019
SNA-1046A Monthly Work Activity Report 05/01/2019
SNA-1046A-S Informe Mensual de Actividades Laborales (Monthly Work Activity Report) 05/01/2019
FAA-0053A Verification of New/Current Employment 05/01/2019
DDD-1403E Job Coach Agreement Individual Supported Employment Services 05/01/2019

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