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Download Number Form Name Effective Date
DDD-2039A HCBS Member Needs Assessment 02/01/2020
DDD-1535A Authorization for Disclosure of Protected Health Information 02/01/2020
DDD-1500A ALTCS Member Service Plan 02/01/2020
DDD-1530A Managed Risk Agreement Services and/or Placement 02/01/2020
FCT-1001A Acknowledgment of Tribal Consultation Request 02/01/2020
DDD-1309B AHCCCS/ALTCS/DDD Member Contingency/Back-up Plan 02/01/2020
HRP-1028A Application for Benefits (TEFAP, CSFP) 01/01/2020
FAA-1701A-XLP Verification of Terminated Employment (Extra Large Print) 01/01/2020
FAA-0053A Verification of New/Current Employment 01/01/2020
FAA-0098A-SLP Solicitud de Apelación (Letra Grande) 01/01/2020

Download Number Form Name Effective Date
Annual Report 2018-2019 2018-2019 DES Annual Report 12/31/2019
30th Month October 2019 30th Month Financial Report FY 2019 through October 2019 12/24/2019
Statistical Bulletin November 2019 Statistical Bulletin November 2019 12/16/2019
AZ State Plan - TEFAP 2019-2020 Arizona State Plan- The Emergency Food Assistance Program (TEFAP) 2019-2020 12/06/2019
TANF Report October 2017 TANF State Plan Effective October 1, 2017 12/05/2019
6AAC7 Five-Year Review Report - Divison of Child Support Services 12/03/2019
Statistical Bulletin October 2019 Statistical Bulletin October 2019 12/02/2019
30th Month August 2019 30th Month Financial Report FY 2019 through August 2019 11/05/2019
30th Month September 2019 30th Month Financial Report FY 2019 through September 2019 11/05/2019
Statistical Bulletin September 2019 Statistical Bulletin September 2019 10/30/2019

No results available.

Download Number Form Name Effective Date
RSA-1134A-LP What Is Voc Rehabilitation? (Large Print) 02/01/2020
RSA-1242A Vocational Rehabilitation Transition 02/01/2020
RSA-1242A-S Transición con la Rehabilitación Vocacional 02/01/2020
RSA-1242A-LP Vocational Rehabilitation Transition (Large Print) 02/01/2020
DDD-1474A Division Offices / Oficinas De La División 01/01/2020
FAA-0032A Information Needed to Complete Your Case (English/Spanish) 01/01/2020
FAA-0032A-XLP Information Needed to Complete Your Case (English/Spanish - Extra Large Print) 01/01/2020
FAA-1759A Don't Take a Chance...Report a Change! 01/01/2020
CSE-1313A-S Sustento para Menores y Empleadores (Volante) 01/01/2020
WIO-1114A Second Chance Centers 01/01/2020


Download Number Form Name Effective Date
RSA-1134A What Is Voc Rehabilitation? 02/01/2020
RSA-1134A-LP What Is Voc Rehabilitation? (Large Print) 02/01/2020
DDD-1899A Planning Document 02/01/2020
DDD-1569A Rights, Health and Safeguards 02/01/2020
RSA-1242A Vocational Rehabilitation Transition 02/01/2020
DDD-0221A Spending Plan 02/01/2020
RSA-1242A-S Transición con la Rehabilitación Vocacional 02/01/2020
DDD-2039A HCBS Member Needs Assessment 02/01/2020
FCT-1001A Acknowledgment of Tribal Consultation Request 02/01/2020
CSE-1051A How to Apply for IV-D Child Support Services 02/01/2020

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