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Download Number Form Name Effective Date
FAA-1475A Verification of Out-Of-State Benefits 01/01/2019
LCR-1079C Completion Guide for Forms LCR-1079A & LCR-1079B Developmental Home Compliance Review Instructions 01/01/2019
GCI-1021E Individualized Family Service Plan (IFSP) Transition 01/01/2019
HRP-1017A Request to Terminate USDA Distribution Site 01/01/2019
GCI-1021E-S Plan Individualizado De Servicio Familiar (IFSP) Transición 01/01/2019
HRP-1001A USDA Commodity Loss Report (CLR) 01/01/2019
HRP-1003A Commodity Disposal Report (CDR) 01/01/2019
HRP-1027A USDA Compliance Review 01/01/2019
HRP-1007A Commodity Transfer Report 01/01/2019
GCI-1077A Complaint Request 01/01/2019

Download Number Form Name Effective Date
Statistical Bulletin September 2013 Statistical Bulletin September 2013 10/15/2013
2013 Child Care Report to JLBC 2013 Child Care Report to JLBC 10/03/2013
Family Support Program 2013 DDD Family Support Program Annual Report 2013 10/02/2013
WIA 2012 Annual Report Arizona PY12 WIA Title IB Annual Report 10/01/2013
State Performance Plan FFY 2012 FFY 2012 AzEIP Annual Performance Report 09/30/2013
State Performance Plan, FFY 2005-2013 AzEIP State Performance Plan, 2005-2013 09/30/2013
Child Care and Development Fund Plan FFY2014-2015 Child Care and Development Fund Plan FFY2014-2015 09/20/2013
Statistical Bulletin August 2013 Statistical Bulletin August 2013 09/12/2013
DES Welfare-2013 Annual Welfare Reform Report 2013 09/09/2013
Tribal Consultation Report 2013 Tribal Consultation Report 2013 09/04/2013

No results available.

Download Number Form Name Effective Date
PAD-195-S Declaración de Derechos 08/01/2013
GCI-1070A Child and Family Rights in the Arizona Early Intervention Program 07/01/2013
GCI-1070A-S Derechos del Menor y la Familia bajo en Programa de Intervención Temprana de Arizona (AzEIP) 07/01/2013
RSA-PL8243 Client Assistance Program 06/20/2013
PAY-626 Non-Certified Relative Child Care Provider Program 04/01/2013
PAY-626-S Programa de Parientes como Proveedores No Certificados de Cuidado de Niños 04/01/2013
GCI-1081A-S La Importancia de la Historia Familiar 01/01/2013
GCI-1086A-S Una Guía Familiar para la Financiación de los Servicios de Intervención Temprana en Arizona 11/01/2012
PAD-517-S Trabajando Junto a Usted 03/01/2012
PAD-588-PD Decisions About Your Health Care 11/01/2011


Download Number Form Name Effective Date
FAA-1494A-S Remoción de un Representante Autorizado 08/01/2019
UIA-1060A Filing of Weekly Claims (English/Spanish) 08/01/2019
DDD-1472A-LP ISP - Annual Review and Update Packet At Home Adult (Large Print) 08/01/2019
DDD-1721A Building a Relationship with a Direct Care Worker 08/01/2019
FAA-1494A-LP Authorized Representative Removal (Large Print) 08/01/2019
FAA-1493A-XLPS Solicitud de Representante Autorizado (Letra Extra Grande) 08/01/2019
AAA-1122A Host Agency Application 08/01/2019
CSE-0167A Request for Title IV-D Child Support Services and Applicant’s Rights and Responsibilities 08/01/2019
FAA-1493A-LPS Solicitud de Representante Autorizado (Letra Grande) 08/01/2019
FAA-1493A-LP Nutrition Assistance Authorized Representative Request (Large Print) 08/01/2019

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