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Reports, Forms, Pamphlets and Policies

You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services. 

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Download Number Form Name Effective Date
AAA-1240A Disease Prevention and Health Promotion Services Quarterly Summary Report 12/01/2016
FCT-1001A Acknowledgment of Tribal Consultation Request 12/01/2016
UB-217-FF Wage/Employment Investigation Request 11/01/2016
CC-044 Verification of Shelter Case Plan 11/01/2016
DDD-1741A Request for Eligibility Tool Ages Birth - 3 Years 10/01/2016
DDD-1741A-S Solicitud Para Una Herramienta De Revisión De Eligibilidad A La DDD Desde El Nacimiento A Los 3 Años De Edad 10/01/2016
DDD-1469A Spouse Attendant Care Acknowledgment of Understanding 10/01/2016
DDD-1469A-S Reconocimiento de Comprensión del Cuidado Directo Por Parte del Cónyuge 10/01/2016
GCI-1101A Reversal/Void Invoice Linte Item Request 10/01/2016
HPZ-034-A AZ Taxonomy of Human Services - Request for a New or Revised Program/Cluster/Service 10/01/2016

Download Number Form Name Effective Date
CCA Market Rate Survey 06 Child Care Market Rate Survey 2006 12/01/2006
Statistical Bulletin Nov 06 Statistical Bulletin Nov 2006 11/30/2006
Statistical Bulletin Oct 06 Statistical Bulletin Oct 2006 10/30/2006
2006 Child Care Report to JLBC Child Care Report to JLBC 2006 10/02/2006
Statistical Bulletin Sep 06 Statistical Bulletin Sep 2006 09/30/2006
Statistical Bulletin Aug 06 Statistical Bulletin Aug 2006 08/30/2006
Statistical Bulletin Jul 06 Statistical Bulletin Jul 2006 07/30/2006
Statistical Bulletin Jun 06 Statistical Bulletin Jun 2006 06/30/2006
Statistical Bulletin May 06 Statistical Bulletin May 2006 05/31/2006
Statistical Bulletin Apr 06 Statistical Bulletin Apr 2006 04/30/2006

No results available.

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Download Number Form Name Effective Date
UB-296-S Informe de enfermedad o discapacidad física (Spanish) 05/01/2018
DDD-1401A Center Based Employment - Quarterly Report 05/01/2018
DD-097-1-FFS Orientación del Proveedor Previa al Servicio 05/01/2018
DDD-1883A-S ¿Qué es PASRR? 05/01/2018
CCA-1141A Direct Deposit Enrollment - DES Certified Homes/Relative Providers 05/01/2018
RSA-1313A Authorization for Release of RSA Records 05/01/2018
DDD-1530A Managed Risk Assessment Service and/or Placement 05/01/2018
DDD-1405C Transition To Employment - Quality Assurance Review 05/01/2018
CCA-1141A-S Inscripción con Depósito Directo para Proveedores o Parientes Autorizados Por el DES 05/01/2018
RSA-1313A-S Autorización de Divulgación de Registros de RSA 05/01/2018

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