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Download Number Form Name Effective Date
GCI-1077A Complaint Request 01/01/2019
HRP-1014A Civil Rights Complaint / Grievance 01/01/2019
GCI-1077A-S Solicitud de Reclamo 01/01/2019
GCI-1021E Individualized Family Service Plan (IFSP) Transition 01/01/2019
LCR-1079C Completion Guide for Forms LCR-1079A & LCR-1079B Developmental Home Compliance Review Instructions 01/01/2019
FAA-1475A Verification of Out-Of-State Benefits 01/01/2019
GCI-1021E-S Plan Individualizado De Servicio Familiar (IFSP) Transición 01/01/2019
HRP-1027A USDA Compliance Review 01/01/2019
HRP-1017A Request to Terminate USDA Distribution Site 01/01/2019
GCI-1037A Public Education Agency (PEA) Notification/Referral 01/01/2019

Download Number Form Name Effective Date
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
Annual Report 2012-2013 2012-2013 DES Annual Report 02/06/2014

No results available.

Download Number Form Name Effective Date
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
GCI-1086A A Family's Guide to Funding Early Intervention Services in Arizona 04/01/2015
DDD-1698A-S Cuidado dental Edades Nacimiento - 21 04/01/2015
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
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


Download Number Form Name Effective Date
FAA-1530A-XLPS Aviso de Recomendación y Participación de ABAWD (Letra Extra Grande) 06/01/2019
ESA-1060A-S Servicios de Reintegración Laboral 06/01/2019
FAA-1530A-S Aviso de Recomendación y Participación de ABAWD 06/01/2019
CCA-1259A-S Formulario previo a la Solicitud de Proveedor de Cuidado de Niños Certificado por el DES 06/01/2019
HRP-1028A Application for Benefits (TEFAP, CSFP) 06/01/2019
FAA-1725A Verification of Other Income 06/01/2019
WIO-1075A Transfer of Funds Request Form 06/01/2019
ESA-1338A Language Line Translation Services Utilized 06/01/2019
FAA-0155A Recent Employment/Training Background 06/01/2019
GCI-1098A AzEIP Public Awareness Materials Order Form 06/01/2019

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