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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EAP-1004A | Applicant Statement of Tribal LIHEAP Denial (English) | 12/01/2022 |
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DDD-0208A-S | Community Living Services (CLS) Application and Agreement (Spanish) | 12/01/2022 |
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ESA-1184D | Veteran’s Priority of Service ID Card | 12/01/2022 |
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DDD-0208A | Community Living Services (CLS) Application and Agreement (English) | 12/01/2022 |
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AAA-1346A | Medical Need Verification | 12/01/2022 |
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LCR-1000A | Agency Compliance Audit Checklist | 12/01/2022 |
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LCR-1000C | Corrective Action Plan (Agency) | 12/01/2022 |
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AAA-1346A-S | Verificación de Necesidad Médica | 12/01/2022 |
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LCR-1031B | Child or Adult Developmental Home Caregiver Assessment Guide | 12/01/2022 |
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AAA-1345A-S | Solicitud del Programa de Reembolso al Cuidador Familiar de Arizona | 12/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UB-217 | Wage / Employment Investigation Request (English) | 01/01/2020 |
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FCT-1000A | Formal Request for Tribal Community | 01/01/2020 |
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FAA-0075A | Verification of School Attendance/Verificación de Asistencia Escolar | 12/01/2019 |
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FAA-1442A | Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información | 12/01/2019 |
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GCI-1113A | Child Transfer Form | 10/01/2019 |
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CCA-0218A | Sign-In/Sign-Out Record (English) | 10/01/2019 |
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CCA-0218B | Sign-In/Sign-Out Record (Extended Version) | 10/01/2019 |
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CCA-0218B-S | Registro de Entradas y Salidas (Versión extendida) | 10/01/2019 |
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CCA-0218A-S | Sign-In/Sign-Out Record (Spanish) | 10/01/2019 |
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LCR-1034A-S | Criminal History Self Disclosure Affidavit (Spanish) | 10/01/2019 |
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