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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
​FAA-0412A ​Change Report 09/01/2019
DDD-0403A Reference Request 09/01/2019
GCI-1041A Consent to Bill Health Insurance 09/01/2019
FAA-1439A-SXLP Estado de Pérdidas y Ganancias del Trabajo por Cuenta Propia (Letra Extra Grande) 09/01/2019
FAA-1439A-LP Self-Employment Income Statement (Large Print) 09/01/2019
FAA-1439A-S Declaración de Sueldo de Empleo Por Cuenta Propia 09/01/2019
FAA-1439A-XLP Self-Employment Income Statement (Extra Large Print) 09/01/2019
FAA-1439A-SLP Declaración del Sueldo de Empleo por Cuenta Propia (Letra Grande) 09/01/2019
GCI-1041A-S Consentimiento para el Uso del Seguro de Salud 09/01/2019
DDD-1784A Habilitation Progress Report 09/01/2019

Download Number Name Effective Date
30th Month June 2014 30th Month Report June Fiscal Year 2014 08/05/2014
Statistical Bulletin June 2014 Statistical Bulletin June 2014 07/15/2014
30th Month May 2014 30th Month Report May Fiscal Year 2014 07/10/2014
30th Month April 2014 30th Month Report April Fiscal Year 2014 07/09/2014
SSBG Plan 2014-2015 Social Services Block Grant Plan 2014-2015 07/01/2014
Statistical Bulletin May 2014 Statistical Bulletin May 2014 06/13/2014
Statistical Bulletin April 2014 Statistical Bulletin April 2014 06/02/2014
30th Month March 2014 30th Month Report March Fiscal Year 2014 05/19/2014
Statistical Bulletin March 2014 Statistical Bulletin March 2014 04/15/2014
APS SFY 2013 Adult Protective Services Annual Activity 2013 Report 04/08/2014

No results available.

Download Number Name Effective Date
CCA-1101A-S ¿Qué es el Cuidado de Niños Regulado en Arizona? 04/01/2015
AAA-1246A Serving the Needs of Family Caregivers in Arizona 03/01/2015
AAA-1246A-S Satisfacer las Necididades de Cuidadores Familiares en Arizona 03/01/2015
DDD-1700A Keep Your Baby Healthy 02/01/2015
CSE-1155A Quick Reference to Reporting Requirements for Employers 08/01/2014
CSE-1230A-S Es el Mes de Concienciación de Sustento para Menores 06/01/2014
RSA-SP8815 Entender la Orden de Selección 03/14/2014
RSA-SP8782 Client Assistance Program (Spanish) 03/05/2014
CSE-1225A Attention All Grandparents Raising Grandchildren 03/01/2014
CSE-1225AS ¡Atención a Todos los Abuelos que crian a sus nietos! 03/01/2014


No results available.


Download Number Name Effective Date
GCI-1020A Authorization to Disclose Protected Health Information 05/01/2020
DDD-1703A Provider Request for Central Registry Background Check 05/01/2020
GCI-1039A Consent to Obtain Information 05/01/2020
GCI-1032A Invitation to Participate in a Transition Conference/IFSP Transition Planning Meeting 05/01/2020
AAA-1355A APS Registry Employer Certification Form 05/01/2020
GCI-1039AS Autorización para Obtener Información 05/01/2020
GCI-1032AS Invitación a Participar en una Conferencia de Transición y Reunión de IFSP sobre Planificación de la Transición 05/01/2020
GCI-1070A Child and Family Rights in the Arizona Early Intervention Program 05/01/2020
GCI-1033A Transition Conference Summary 05/01/2020
30th Month February 2020 30th Month Financial Report FY 2020 through February 2020 04/23/2020

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