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Download Number Form Name Effective Date
CC-024A-S Declaración de Verificación de Sueldo y Empleo 10/01/2018
CC-228-S Registro Presupuestario de empleo propio 10/01/2018
DDD-1703A Provider Request for Central Registry Background Check 10/01/2018
CC-024A Employment and Wage Verification Statement 10/01/2018
CC-041 Fair Hearing Request 10/01/2018
FA-100 Appeal Request 10/01/2018
CC-041-S Solicitud De Audiencia Imparcial 10/01/2018
FA-100-S Solicitud de Apelación 10/01/2018
DD-524-FF Authorization for Release of Information 10/01/2018
DD-524-FFS Autorización para Entregar Información 10/01/2018

Download Number Form Name Effective Date
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
Annual Report 2012-2013 2012-2013 DES Annual Report 02/06/2014
Statistical Bulletin December 2013 Statistical Bulletin December 2013 02/03/2014
IDEA Part C Dispute Resolution FFY 2013 Dispute Resolution 2012-13 02/01/2014

No results available.

Download Number Form Name Effective Date
CSE-1051AS Cómo Solicitar Servicios de Sustento para Menores Bajo el Título IV-D 02/01/2014
CSE-1154A 1 Go Green With DCSS (e-Employer) - Design 1 02/01/2014
CSE-1154A 2 Go Green With DCSS (e-Employer) - Design 2 02/01/2014
CSE-1084A How Much Do I Owe? 10/01/2013
CSE-1084AS ¿Cuánto Adeudo? 10/01/2013
ESA-1056A Job Seekers Handbook 10/01/2013
FAA-1492A Authorized Representatives - Rights & Responsibilities 10/01/2013
EN-025 Food Assistance Programs in Arizona 09/01/2013
EN-025-S Programas de Asistencia Alimenticia en Arizona 09/01/2013
CCA-1182A DES Certified Family Child Care Home Providers 09/01/2013


Download Number Form Name Effective Date
FAA-1366A Eligibility Requirements 04/01/2019
DDD-1472B ISP - Annual Review and Update Packet (Residential Placement) 04/01/2019
RSA-1298A-S-LP Formulario De Recomendación (Letra Grande) 04/01/2019
DDD-1472B-S Paquete del Repaso Anual y Actualización del ISP (La colocación residencial) 04/01/2019
FAA-1439A-LPS Estado de Pérdidas y Ganancias del Trabajo por Cuenta Propia (Letra Grande) 04/01/2019
FAA-1375A Nutrition Assistance Posters 04/01/2019
DDD-1472C ISP - Annual Review and Update Packet (At Home Child) 04/01/2019
UB-106A Weekly Claim for Unemployment Insurance (UI) Benefits 04/01/2019
FAA-1573A-XLP Rights and Responsibilities (Extra Large Print) 04/01/2019
DDD-1472C-S Paquete del Repaso Anual y Actualización del ISP (Menor en el hogar) 04/01/2019

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