You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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DDD-2102A-S | Electronic Visit Verification (EVV) Designee Attestation (Spanish) | 09/01/2021 |
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DDD-2098A | Hourly Nursing Assessment Tool (H-NAT) | 09/01/2021 |
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CSE-1281A | Agreement to Accept Service by Mail Paternity or Establishment (English/Spanish) | 09/01/2021 |
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CSE-1129A | Electronic Payment Authorization (English) | 09/01/2021 |
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VR-1018A | Vocational Rehabilitation (VR) | 09/01/2021 |
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CSE-1129A-S | Electronic Payment Authorization (Spanish) | 09/01/2021 |
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VR-1018A-S | Rehabilitación Vocacional (VR) | 09/01/2021 |
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CSE-1168A | Agreement to Accept Service by Mail - TANF Workshops | 09/01/2021 |
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DES Welfare-2021 | SFY 2021 Annual Welfare Reform Report | 09/01/2021 |
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CCA-1294A | Provider Registration Agreement Tutorial (English) | 09/01/2021 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1224A | Fast Pass DCS Referral (English) | 03/01/2024 |
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GCI-1157A | Record Review Report / Prior Written Notice (English) | 03/01/2024 |
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FAA-0098A | Hearing Request (English) | 03/01/2024 |
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FAA-0098A-S | Hearing Request (Spanish) | 03/01/2024 |
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GCI-1021P-S | Individualized Family Service Plan with PCSP Supplement (Spanish) | 03/01/2024 |
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CCA-0225A | Verification of Unable\Unavailable Status (English) | 03/01/2024 |
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DDD-2121A | Person-Centered Service Plan Supplement to the Individualized Family Service Plan (English) | 03/01/2024 |
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DDD-2121A-S | Person-Centered Service Plan Supplement to the Individualized Family Service Plan (Spanish) | 03/01/2024 |
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ASA-1011A-S | Appeal Request: ARAP & LIHEAP (Spanish) | 04/01/2024 |
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ARA-1000A | Arizona Rental Assistance Manual Application (English) | 04/01/2024 |
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