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Download Number Form Name Effective Date
DD-191 Incident Report 09/01/2018
DD-525-S Solicitud para la Determinación de Elegibilidad 08/01/2018
CC-001A Child Care Assistance Rights and Responsibilities 08/01/2018
FA-065-FF Verification of Living Arrangements/Residential Address 08/01/2018
CC-229 (FY19) Child Care Assistance Gross Monthly Income Eligibility Chart and Fee Schedule (English/Spanish) 08/01/2018
CCA-1116A Child Care Assistance Priority Waiting List Income Table 08/01/2018
CSE-1290A Caretakers Statement Regarding Physical Custody of a Child 08/01/2018
CSE-1290A-S Declaración del Cuidador Referente a la Custodia Física de un Menor o Menores 08/01/2018
CC-001A-S Derechos y Responsabilidades de la Asistencia para Cuidado de Niños 08/01/2018
CS-127-PF Acknowledgment of Paternity (Eng/Span) 08/01/2018

Download Number Form Name Effective Date
30th Month Nov-2014 30th Month Report November Fiscal Year 2014 01/28/2014
Annual Report on Homelessness 2013 22nd Annual Report on Homelessness December 2013 12/30/2013
2013 Homeless Lottery Funds Report 2013 Homeless Lottery Funds Report 12/30/2013
Five Year Strategic Plan SFY 2015 - 2019 Five Year Strategic Plan SFY 2015 - 2019 12/20/2013
30th Month Oct-2014 30th Month Report October Fiscal Year 2014 12/19/2013
Statistical Bulletin November 2013 Statistical Bulletin November 2013 12/13/2013
Rehabilitation Council Annual Report 2013 Governor's State Rehabilitation Council 2013 Annual Report 12/01/2013
30th Month Sep-2014 30th Month Report September Fiscal Year 2014 11/15/2013
Statistical Bulletin October 2013 Statistical Bulletin October 2013 11/14/2013
IDEA Part C Exiting FFY 2013 Exiting 2012-13 11/06/2013

No results available.

Download Number Form Name Effective Date
PAY-626-S Programa de Parientes como Proveedores No Certificados de Cuidado de Niños 04/01/2013
GCI-1081A-S La Importancia de la Historia Familiar 01/01/2013
FA-177-FF Claim of Good Cause (Eng/Span) 12/01/2012
GCI-1086A-S Una Guía Familiar para la Financiación de los Servicios de Intervención Temprana en Arizona 11/01/2012
PAD-517 Working With You 03/01/2012
PAD-517-S Trabajando Junto a Usted 03/01/2012
PAD-588-PD Decisions About Your Health Care 11/01/2011
PAD-588-PDS Decisiones sobre el cuidado de su salud 11/01/2011
DDD-1558A Choking (Prevention is No Accident!) 11/01/2011
PAJ-455 Job Search Skills 09/01/2011


Download Number Form Name Effective Date
Arizona County Demographics Handbook 2018 Arizona County Demographics Handbook 2018 01/09/2019
Arizona Legislative District Demographics Handbook 2018 Arizona Legislative District Demographics Handbook 2018 01/09/2019
LCR-1079C Completion Guide for Forms LCR-1079A & LCR-1079B Developmental Home Compliance Review Instructions 01/01/2019
HRP-1012B The Emergency Food Assistance Program (TEFAP) Food Distribution Monthly Statistical Report/Instructions and Definitions 01/01/2019
FA-001-P-LP HEA+plus Signature Pages (Large Print) 01/01/2019
HRP-1013A The Emergency Food Assistance Program (TEFAP) / Programa de Asistencia de Alimentos de Emergencia (TEFAP) Household Distribution Site Sign-In Sheet / Hoja de Registro del Centro de Deistribición a los hogares 01/01/2019
POX-248 Americans with Disabilities Act Notice 01/01/2019
FA-001-P-S-LP Hoja de Firmas HEA+plus (Letra Grande) 01/01/2019
HRP-1014A Civil Rights Complaint / Grievance 01/01/2019
GCI-1077A Complaint Request 01/01/2019

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