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Download Number Form Name Effective Date
FAA-1004A-S Designación de Titular Sustituto para la Tarjeta de EBT 07/01/2018
FAA-1533A Verification of Unfitness for Work for Adults 07/01/2018
LCR-1005A Notice of Inspection Rights 07/01/2018
FA-059 Authority to Release Information 07/01/2018
DDD-1370A Child Information Guide 07/01/2018
DDD-1727A Direct Service Position 07/01/2018
DDD-1370A-S Información Sobre el Menor 07/01/2018
UB-400 Shared Work Unemployment Compensation - Information and Application 07/01/2018
DDD-1727A-S Puesto de Servicio Directo 07/01/2018
CCA-1015A Withdrawal or Termination Request 07/01/2018

Download Number Form Name Effective Date
30th Month Aug-2014 30th Month Report August Fiscal Year 2014 10/30/2013
30th Month 13th 2013 30th Month Report 13th Fiscal Year 2013 10/28/2013
Statistical Bulletin September 2013 Statistical Bulletin September 2013 10/15/2013
2013 Child Care Report to JLBC 2013 Child Care Report to JLBC 10/03/2013
Family Support Program 2013 DDD Family Support Program Annual Report 2013 10/02/2013
WIA 2012 Annual Report Arizona PY12 WIA Title IB Annual Report 10/01/2013
State Performance Plan FFY 2012 FFY 2012 AzEIP Annual Performance Report 09/30/2013
State Performance Plan, FFY 2005-2013 AzEIP State Performance Plan, 2005-2013 09/30/2013
Child Care and Development Fund Plan FFY2014-2015 Child Care and Development Fund Plan FFY2014-2015 09/20/2013
Statistical Bulletin August 2013 Statistical Bulletin August 2013 09/12/2013

No results available.

Download Number Form Name Effective Date
Ombudsman Manual Ombudsman Manual 03/23/2011
RSA-LP6106 Rehabilitation Adjustment & Employment Services Brochure 10/19/2010
PPP-1122A Limited English Proficiency (LEP) Flyer 10/01/2010
OPE-1008A Office of Program Evaluation 09/01/2009
OPE-1008AS Office of Program Evaluation (Spanish) 09/01/2009
AAA-1139A Break the Silence-Report Elder Abuse 04/29/2009
FAA-1403A Nutrition Assistance Benefits Increase Poster 03/01/2009
FA-155-1-FFS Trasfondo del Empleo/Capacitación Más Reciente 11/01/2008
AAA-1153A Be a Direct Care Professional! 10/01/2008
AAA-1034AS Arizona Long Term Care Ombudsman Program (Spanish) 09/01/2008


Download Number Form Name Effective Date
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
FA-001-P-XLP HEA+plus Signature Pages (Extra Large Print) 01/01/2019
FA-001-P-S Hoja de Firmas HEA+plus 01/01/2019
HRP-1026A USDA Beneficiary Referral Request 01/01/2019
GCI-1077A-S Solicitud de Reclamo 01/01/2019

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