You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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FAA-1821A-LP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Large Print (English) | 06/01/2023 |
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DDD-1713A-S | DDD Customer Service Center (Spanish) | 06/01/2023 |
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FAA-1826A-S | Solicitud de Representante Autorizado(a) para Asistencia Nutricional (NA) | 06/01/2023 |
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FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
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FAA-0155B | Determination of Primary Wage Earner (PWE) | 06/01/2023 |
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FAA-1821A-SLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Large Print (Spanish) | 06/01/2023 |
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FAA-1826A | Nutrition Assistance (NA) Authorized Representative Request | 06/01/2023 |
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FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
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FAA-0155A-S | Antecedentes de Empleo o Capacitación Reciente | 06/01/2023 |
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FAA-1821A-XLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Extra Large Print (English) | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
LCR-1000A | Agency Compliance Audit Checklist | 12/01/2022 |
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CCA-0039A-S | Medical Statement (Spanish) | 12/01/2022 |
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AAA-1345A-S | Solicitud del Programa de Reembolso al Cuidador Familiar de Arizona | 12/01/2022 |
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LCR-1000C | Corrective Action Plan (Agency) | 12/01/2022 |
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LCR-1031B | Child or Adult Developmental Home Caregiver Assessment Guide | 12/01/2022 |
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LDU-1003A | Labor Dispute Information | 12/01/2022 |
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LCR-1031B-S | Hogares de Desarrollo para Menores o Adultos - Guía de Evaluación del Cuidador | 12/01/2022 |
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DDD-1541A | ALTCS Enrollment Transition Information (ETI) (English) | 12/01/2022 |
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EAP-1004A | Applicant Statement of Tribal LIHEAP Denial (English) | 12/01/2022 |
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DDD-1972A | Application for Eligibility Determination Packet (English) | 11/01/2022 |
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