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Reports, Forms, Pamphlets and Policies

You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.

Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down.
Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks.
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Number	Document Name	Effective Date
CCA-1163A-S	Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish)	05/01/2023
FAA-0574A-XLP	Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (English)	05/01/2023
FAA-1768A-S	Overpayment Compromise Request Form (Spanish)	05/01/2023
GCI-1032A	IFSP Transition Meeting Invitation Prior Written Notice	05/01/2023
FAA-0065A	Verification of Living Arrangements/Residential Address (English)	05/01/2023
FAA-0574A-SLP	Withdrawal or Stop Benefits/Appeal Request - Large Print (Spanish)	05/01/2023
FAA-0065A-SLP	Verification of Living Arrangements/Residential Address - Large Print (Spanish)	05/01/2023
CCA-1164A	Affidavit of Immunization Exemption - For Children in Care (English)	05/01/2023
FAA-0574A-SXLP	Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (Spanish)	05/01/2023
GCI-1032A-S	Invitación a una Reunión de Transición del IFSP Notificación Previa por Escrito	05/01/2023

Number	Document Name	Effective Date
DDD-1753A	Policy and Procedure Focused Review: Responsible Driving Tool/Transporting Members (English)	03/01/2017
WIO-1057A	H-2B Foreign Labor SWA Job Order Form (English)	02/01/2017
CCA-1228A	Direct Service Position (Certification Form) (English)	12/01/2016
GCI-1101A	Reversal/Void Invoice Line Item Request	10/01/2016
DDD-1469A	Spouse Attendant Care Acknowledgment of Understanding (English)	10/01/2016
HPZ-034-A	AZ Taxonomy of Human Services - Request for a New or Revised Program/Cluster/Service (English)	10/01/2016
DDD-1469A-S	Spouse Attendant Care Acknowledgment of Understanding (Spanish)	10/01/2016
ESA-1297A	Assurances for Interstate and Interstate Clearance Orders	05/01/2016
CCA-1210B	Child Care Provider Registration Agreement	04/01/2016
CCA-1210B-S	Acuerdo de Registro del Proveedor de Cuidado De Niños	04/01/2016

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