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Download Number Form Name Effective Date
HRP-1028A-S Solicitud para Beneficios (TEFAP, CSFP) 06/01/2019
CCA-1227A Maximum Reimbursement Rates for Child Care 06/01/2019
UIB-1091A Information Regarding Direct Deposit/Agreement for Direct Deposit 06/01/2019
UIB-1091A-S Información Relacionada a Depósitos Directos en su Cuenta Bancaria 06/01/2019
WIO-1075A Transfer of Funds Request Form 06/01/2019
FAA-1530A ABAWD Participation and Referral Notice 06/01/2019
FAA-1530A-S Aviso de Recomendación y Participación de ABAWD 06/01/2019
HRP-1028A Application for Benefits (TEFAP, CSFP) 06/01/2019
DDD-1403F Job Search Agreement- Individual Supported Employment Services 05/01/2019
SNA-1046A Monthly Work Activity Report 05/01/2019

Download Number Form Name Effective Date
Statistical Bulletin January 2019 Statistical Bulletin January 2019 02/28/2019
30th Month Nov 2018 30th Month Financial Report FY-2019 through Nov-2018 02/15/2019
30th Month Dec-2018 30th Month Financial Report FY-2019 through Dec-2018 02/15/2019
CCDF Plan FFY 2019-2021 CCDF State Plan FY2019-FY2021 02/08/2019
Statistical Bulletin December 2018 Statistical Bulletin December 2018 01/23/2019
Annual Report on Homelessness 2018 Annual Report on Homelessness 2018 01/01/2019
2018 Homeless Lottery Funds Report 2018 Homeless Lottery Funds Report 01/01/2019
APS SFY 2018 Adult Protective Services Annual Report for SFY 2018 01/01/2019
Five Year Strategic Plan SFY 2019 - 2023 Five Year Strategic Plan SFY 2019 - 2023 01/01/2019
Annual Report 2017-2018 2017-2018 DES Annual Report 12/31/2018

No results available.

Download Number Form Name Effective Date
DDD-2010A Out-of-Network Claims Submission Guide 05/01/2019
FAA-1407A Arizona WIC Reference Guide 05/01/2019
FAA-1714A Mid Approval Contact (Lobby) 05/01/2019
FAA-1714A-S Contacto en el punto Medio de la Aprobación (Lobby) 05/01/2019
FAA-1407A-S Guía de Referencia de WIC de Arizona 05/01/2019
PAY-519-S Programas de Cuidado de Niños (FY19) 04/01/2019
CCA-1253A Choosing Quality Child Care (English/Spanish) 04/01/2019
AAA-1316A SNAP-O Partnership 04/01/2019
CSE-1252A Benefits of Establishing Paternity 04/01/2019
UIT-1191A Bulk UI Tax Rate Request Process and Information 04/01/2019


Download Number Form Name Effective Date
FAA-1530A-XLP ABAWD Participation and Referral Notice (Extra Large Print) 06/01/2019
ESA-1060A Reemployment Workforce Services 06/01/2019
HRP-1028A-S Solicitud para Beneficios (TEFAP, CSFP) 06/01/2019
FAA-1530A-XLPS Aviso de Recomendación y Participación de ABAWD (Letra Extra Grande) 06/01/2019
ESA-1060A-S Servicios de Reintegración Laboral 06/01/2019
CSE-1251A Fact Sheet for Minor Parents (English/Spanish) 06/01/2019
GCI-1081A Interagency Coordinating Council for Infants and Toddlers (Consejo de Coordinación Interinstitucional para Bebés y Niños Pequeños) 06/01/2019
CCA-1227A Maximum Reimbursement Rates for Child Care 06/01/2019
HRP-1039A Commodity Senior Food Program (CSFP) Participant Rights and Obligations 06/01/2019
FAA-1530A-LP ABAWD Participation and Referral Notice (Large Print) 06/01/2019

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