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| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
UB-400 | Shared Work Unemployment Compensation - Information and Application | 07/01/2018 |
|
DDD-1406B | Career Preparation and Readiness - Six-Month Report | 06/01/2018 |
|
RSA-1305A-S | Solicitud de Servicios de Transición previa al Empleo para Estudiantes con Discapacidades | 06/01/2018 |
|
J-020 | Client Discrimination Complaint | 06/01/2018 |
|
DDD-1431A | Attendant Care/Housekeeping Service Monitoring/Supervision | 06/01/2018 |
|
J-020-S | Reclamación por Discriminación del Cliente | 06/01/2018 |
|
LCR-1025A | Application for Initial HCBS Certification | 06/01/2018 |
|
J-020-S-LP | Reclamación por Discriminación del Cliente (Large Print) | 06/01/2018 |
|
LCR-1025A-S | Solicitud para Certificación Inicial de HCBS | 06/01/2018 |
|
J-020-FF | Client Discrimination Complaint | 06/01/2018 |
| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
Tribal Consultation Report 2012 | Tribal Consultation Report 2012 | 09/17/2012 |
|
30th Month 13th 2012 | 30th Month Report 13th Fiscal Year 2012 | 09/11/2012 |
|
DES Welfare-2012 | Annual Welfare Reform Report 2012 | 09/01/2012 |
|
Statistical Bulletin July 2012 | Statistical Bulletin July 2012 | 08/15/2012 |
|
30th Month Jun-2012 | 30th Month Report June Fiscal Year 2012 | 08/08/2012 |
|
Statistical Bulletin June 2012 | Statistical Bulletin June 2012 | 07/30/2012 |
|
Application for Federal Funds FFY 2012 | Arizona's Part C FFY 2012 Application for Federal Funds | 07/27/2012 |
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30th Month May-2012 | 30th Month Report May Fiscal Year 2012 | 07/23/2012 |
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SSBG Plan 2012-2013 | Social Services Block Grant Plan 2012-2013 | 07/01/2012 |
|
30th Month Apr-2012 | 30th Month Report April Fiscal Year 2012 | 06/14/2012 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
GCI-1021A | Individualized Family Service Plan - Packet | 03/01/2019 |
|
DDD-1986A-S | Información de Contacto del Comité de Revisión del Programa (PRC) | 03/01/2019 |
|
DDD-1987A | Team Agreement of Behavior Treatment Plan | 03/01/2019 |
|
CSE-1016A | Waiver of Paternity Affidavit (Eng/Span) | 03/01/2019 |
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DDD-1987A-S | Acuerdo de Equipo del Plan de Tratamiento de la Conducta | 03/01/2019 |
|
DDD-1988A | PRC Disposition | 03/01/2019 |
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AAA-1289A | Family Caregiver Support Program | 03/01/2019 |
|
DDD-1988A-S | Disposición del Comité de Revisión del Programa (PRC) | 03/01/2019 |
|
GCI-1021A-S | Plan Individualizado de Servicio Familiar - Paquete | 03/01/2019 |
|
AAA-1289A-S | Programa de Apoyo a los Cuidadores de Familia | 03/01/2019 |
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