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Download Number Form Name Effective Date
GCI-1037A Public Education Agency (PEA) Notification/Referral 01/01/2019
HRP-1012B The Emergency Food Assistance Program (TEFAP) Food Distribution Monthly Statistical Report/Instructions and Definitions 01/01/2019
GCI-1037A-S Agencia de Educación Pública (PEA por sus siglas en inglés) Notificación o Recomendación 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
ES-935 Claimant’s Affidavit of Federal Civilian Service, Wages, and Reason for Separation - UCFE 12/01/2018
UC-522 Adjustment Report 12/01/2018
FAA-1565A-S Acuerdo de Pruebas de Drogas para recibir Asistencia Nutricional 12/01/2018
FAA-1565A Nutrition Assistance Drug Testing Agreement 12/01/2018
GCI-1021G-J Individualized Family Service Plan (Addendum) - Packet 12/01/2018
GCI-1021G-J-S Plan Individualizado de Servicio Familiar (Adenda) - Paquete 12/01/2018

Download Number Form Name Effective Date
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
30th Month February 2014 30th Month Report February Fiscal Year 2014 04/02/2014
IDEA Part C Child Count FFY 2013 Resubmission Child Count and Settings 04/01/2014
Statistical Bulletin February 2014 Statistical Bulletin February 2014 03/28/2014
30th Month January 2014 30th Month Report January Fiscal Year 2014 03/06/2014
Statistical Bulletin January 2014 Statistical Bulletin January 2014 02/28/2014
TANF Report October 2011 TANF State Plan Effective October 1, 2011 02/25/2014
30th Month December 2014 30th Month Report December Fiscal Year 2014 02/24/2014

No results available.

Download Number Form Name Effective Date
DDD-1701A Keep Your Teenager Healthy 04/01/2015
DDD-1701A-S Mantenga a su joven sano 04/01/2015
CCA-1101A What is Regulated Child Care in Arizona? 04/01/2015
CCA-1101A-S ¿Qué es el Cuidado de Niños Regulado en Arizona? 04/01/2015
DDD-1698A Dental Care Ages Birth-21 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
AD-475-A And Justice for all 01/01/2015
CSE-1236A DCSS Employer Relations Flyer 11/01/2014


Download Number Form Name Effective Date
FAA-1111A-S Hoja para Verificar la Declaración del Participante 06/01/2019
GCI-1081A Interagency Coordinating Council for Infants and Toddlers (Consejo de Coordinación Interinstitucional para Bebés y Niños Pequeños) 06/01/2019
CCA-1227A Maximum Reimbursement Rates for Child Care 06/01/2019
FAA-1530A-XLP ABAWD Participation and Referral Notice (Extra Large Print) 06/01/2019
ESA-1060A Reemployment Workforce Services 06/01/2019
FAA-1530A-XLPS Aviso de Recomendación y Participación de ABAWD (Letra Extra Grande) 06/01/2019
UIB-1091A Information Regarding Direct Deposit/Agreement for Direct Deposit 06/01/2019
FAA-1530A ABAWD Participation and Referral Notice 06/01/2019
ESA-1060A-S Servicios de Reintegración Laboral 06/01/2019
UIB-1091A-S Información Relacionada a Depósitos Directos en su Cuenta Bancaria 06/01/2019

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