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Download Number Form Name Effective Date
GCI-1113A Child Transfer Form 10/01/2019
FAA-0077A-SLP Solicitud de Información y Acuerdo para Proporcionar Información que Falta (Letra Grande) 10/01/2019
​FAA-0412A-LP ​Change Report (Large Print) 09/01/2019
FAA-0053A Verification of New/Current Employment 09/01/2019
​FAA-0412A ​Change Report 09/01/2019
CSE-1007 Customer Satisfaction Survey 09/01/2019
CCA-1116A Child Care Assistance Priority Waiting List Income Table 09/01/2019
SNA-1000A-S Derechos y Responsabilidades (Programa de Empleo y Capacitacion de las Asistencia Nutricional Suplementaria [SNA E&T]) 09/01/2019
GCI-1041A-S Consentimiento para el Uso del Seguro de Salud 09/01/2019
RSA-1383A BEP Training - Applicant Checklist 09/01/2019

Download Number Form Name Effective Date
Statistical Bulletin July 2019 Statistical Bulletin July 2019 08/23/2019
EEO Utilization Report Equal Employment Opportunity Utilization Report 08/16/2019
30th Month Mar 2019 30th Month Financial Report FY 2019 through Mar 2019 07/26/2019
30th Month Apr 2019 30th Month Financial Report FY 2019 through Apr 2019 07/26/2019
30th Month May 2019 30th Month Financial Report FY 2019 through May 2019 07/26/2019
Statistical Bulletin June 2019 Statistical Bulletin June 2019 07/15/2019
SSBG Plan 2019-2020 Social Services Block Grant Plan 2019-2020 07/01/2019
6AAC2 Five-Year Review Report - Employment and Training 06/28/2019
6AAC5-Article-52 Five-Year Review Report - Child Care Assistance 06/28/2019
Statistical Bulletin May 2019 Statistical Bulletin May 2019 06/14/2019

No results available.

Download Number Form Name Effective Date
PAY-519 CCA-0519A (FY19) 09/01/2019
WIO-1130A-S Presentar una Queja 09/01/2019
CCA-0519A-S Programas de Cuidado de Niños (FY19) 09/01/2019
DES-1139A Services Provided by DES 09/01/2019
WIO-1131A SNAP CAN Desert Poster 1 09/01/2019
WIO-1131B SNAP CAN Desert Poster 2 09/01/2019
WIO-1131C SNAP CAN Desert Poster 3 09/01/2019
WIO-1131D SNAP CAN Desert Poster 4 09/01/2019
WIO-1131E SNAP CAN Desert Poster 5 09/01/2019
WIO-1131F SNAP CAN Desert Poster 6 09/01/2019


Download Number Form Name Effective Date
TAA-1087A Trade Adjustment Assistance Program 10/01/2019
DDD-0465A Arizona Long Term Care System (ALTCS) Member Handbook 10/01/2019
CSE-1043A-S ​Lo Que Todos Los Padres Deben Saber Sobre el Establecimiento de la Paternidad 10/01/2019
WIO-1127B Probation Officer Referral 10/01/2019
FAA-0077A-LP Information Request and Pending Information Agreement (Large Print) 10/01/2019
CCA-0218A Sign-In/Sign-Out Record 10/01/2019
FAA-0077A-SLP Solicitud de Información y Acuerdo para Proporcionar Información que Falta (Letra Grande) 10/01/2019
CCA-0218B Sign-In/Sign-Out Record (Extended Version) 10/01/2019
CCA-0218B-S Registro de Entradas y Salidas (Versión extendida) 10/01/2019
CCA-0218A-S Registro de Entradas y Salidas 10/01/2019

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