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

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Download Number Name Effective Date
RSA-1312A Authorization for Disclosure of Health Information to RSA 07/01/2019
GCI-1094A Primary Caregiver Visit Log 07/01/2019
UB-099-Y Certification of Understanding (Eng/Span) 07/01/2019
RSA-1312A-S Autorización Para Divulgación De Información De Salud a RSA 07/01/2019
FAA-1249A-LP Verification of Disability (Large Print) 07/01/2019
FAA-0574A Withdrawal or Stop Benefits/Appeal Request 07/01/2019
FAA-0574A-XLP Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) 07/01/2019
DDD-1622A Home Modification Requests Support Coordinator’s (SC) Checklist 07/01/2019
FAA-0574A-XLPS Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) 07/01/2019
FAA-1249A-XLP Verification of Disability 07/01/2019

Download Number Name Effective Date
Family Support Program 2013 DDD Family Support Program Annual Report 2013 10/02/2013
WIA 2012 Annual Report Arizona PY12 WIA Title IB Annual Report 10/01/2013
State Performance Plan FFY 2012 FFY 2012 AzEIP Annual Performance Report 09/30/2013
State Performance Plan, FFY 2005-2013 AzEIP State Performance Plan, 2005-2013 09/30/2013
Child Care and Development Fund Plan FFY2014-2015 Child Care and Development Fund Plan FFY2014-2015 09/20/2013
Statistical Bulletin August 2013 Statistical Bulletin August 2013 09/12/2013
DES Welfare-2013 Annual Welfare Reform Report 2013 09/09/2013
Tribal Consultation Report 2013 Tribal Consultation Report 2013 09/04/2013
30th Month June 2013 30th Month Report June Fiscal Year 2013 08/23/2013
Statistical Bulletin July 2013 Statistical Bulletin July 2013 08/15/2013

No results available.

Download Number Name Effective Date
FAA-1403A Nutrition Assistance Benefits Increase Poster 03/01/2009
FA-155-1-FFS Trasfondo del Empleo/Capacitación Más Reciente 11/01/2008
AAA-1153A Be a Direct Care Professional! 10/01/2008
AAA-1034AS Arizona Long Term Care Ombudsman Program (Spanish) 09/01/2008
DES-1049A We Will Give You Help 09/01/2008
DES-1049AS Le Podemos Ayudar 09/01/2008
AAA-1073A Family Caregiver Support Program 11/01/2007
Register Data Security Register for Basic Data Security 09/27/2007
FA-155-2-FFS Trasfondo del Empleo/Capacitación Más Reciente 01/01/2006
AAA-1075A Assisted Living Residents Rights 07/01/2005


No results available.


Download Number Name Effective Date
DDD-0221A-S Plan de Gastos 02/01/2020
GCI-1038B Consent for Evaluation - Prior Written Notice 02/01/2020
GCI-1038B-S Consentimiento para Evaluación - Aviso Previo por Escrito 02/01/2020
RSA-1134A What Is Voc Rehabilitation? 02/01/2020
AAA-1351A Non-Registered Quarterly Report 02/01/2020
LCR-1036A Life-Safety Inspections 02/01/2020
LCR-1036A-S Inspecciones de Seguridad en la Vida Cotidiana 02/01/2020
RSA-1134A-LP What Is Voc Rehabilitation? (Large Print) 02/01/2020
AAA-1350A Caregiver Registration Form 02/01/2020
DDD-0221A Spending Plan 02/01/2020

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