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Download Number Form Name Effective Date
CC-024A Employment and Wage Verification Statement 10/01/2018
DDD-1703A Provider Request for Central Registry Background Check 10/01/2018
DD-524-FF Authorization for Release of Information 10/01/2018
CC-228 Self-Employment Budget Record 10/01/2018
DD-524-FFS Autorización para Entregar Información 10/01/2018
CC-024A-S Declaración de Verificación de Sueldo y Empleo 10/01/2018
J-930-A Request for Effective Modification to Participate in a Program, Service, or Activity 10/01/2018
CC-228-S Registro Presupuestario de empleo propio 10/01/2018
CC-041 Fair Hearing Request 10/01/2018
J-930-A-S Solicitud de Adaptación Eficaz para Participar en un Programa, Servicio o Actividad 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
CCA-1182A DES Certified Family Child Care Home Providers 09/01/2013
CCA-1182AS Proveedores de Cuidado de Niños en casa, certificados por el DES 09/01/2013
EN-025 Food Assistance Programs in Arizona 09/01/2013


Download Number Form Name Effective Date
FAA-1544A Indigent Exception Worksheet 04/01/2019
CCA-1253A Choosing Quality Child Care (English/Spanish) 04/01/2019
FAA-1544A-S Planilla de Excepcion por Indigencia 04/01/2019
UC-018 Unemployment Tax Wage Report 04/01/2019
AAA-1316A SNAP-O Partnership 04/01/2019
UC-020 UI Tax Wage Listing Continuation 04/01/2019
DDD-1472A ISP - Annual Review and Update Packet (At Home Adult) 04/01/2019
UIT-1191A Bulk UI Tax Rate Request Process and Information 04/01/2019
DDD-1472A-S Paquete del Repaso Anual y Actualización del ISP (Adulto en el hogar) 04/01/2019
FAA-1573A-LP Rights and Responsibilities (Large Print) 04/01/2019

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