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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.
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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
SSBG Plan 2019-2020 | Social Services Block Grant Plan 2019-2020 | 07/01/2019 |
|
CCA-0206A-S | Cuestionario para la Entrevista de Certificación Inicial | 07/01/2019 |
|
UB-099-Y | Certification of Understanding (English / Spanish) | 07/01/2019 |
|
LCR-1007A | Home Visit Report Supplement to Notice of Inspection and Due Process Rights | 07/01/2019 |
|
LCR-1007A-S | Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso | 07/01/2019 |
|
CCA-1260A-S | Solicitud de Proveedor Suplente | 07/01/2019 |
|
GCI-1049A | No Contact Letter | 07/01/2019 |
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CCA-1261A-S | Solicitud de Proveedor Certificado de Cuidado de Niños Familiar | 07/01/2019 |
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RSA-1312A | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
|
CSE-1251A | Fact Sheet for Minor Parents (English/Spanish) | 07/01/2019 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CCA-0039A | Medical Statement (English) | 12/01/2022 |
|
HRP-1017A | Request to Terminate USDA Distribution Site | 01/01/2023 |
|
UC-018 | Unemployment Tax Wage Report (English) | 01/01/2023 |
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CSE-0016A | Certified Public Expenditures Statement | 01/01/2023 |
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DDD-1003A-S | Evaluación PASRR II | 01/01/2023 |
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RSA-1298B | Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral | 01/01/2023 |
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RSA-1298B-S | Recomendación para el Programa de Verano para Jóvenes Ciegos/Visión Reducida Sordo/Dificultades Auditivas | 01/01/2023 |
|
RSA-1298B-LP | Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral (Large Print) | 01/01/2023 |
|
RSA-1298B-SLP | Recomendación para el Programa de Verano para Jóvenes Ciegos/Visión Reducida Sordo/Dificultades Auditivas (Letra Grande) | 01/01/2023 |
|
CCA-0100A | Provider's Child Care Operational Information | 01/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CCA-1301A | Background Check Requirements for Child Care Staff (English/Spanish) | 06/01/2024 |
|
CSE-1299A | DCSS Resource Customer Guide (English) | 06/01/2024 |
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CBC-1002A | Arizona Centralized Background Checks (CBC) - Employer and Agency User Guide (English) | 06/01/2024 |
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CSE-1209B | How to make a Payment (English) | 06/01/2024 |
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CBC-1007A | DES Non-Certified Relative Provider CBC Quick Setup (English) | 06/01/2024 |
|
CSE-1177A | How to Make Your IV-D Child Support Payment (English/Spanish) | 06/01/2024 |
|
DDD-2298A-S | The Behavioral Health Service Journey (Spanish) | 06/01/2024 |
|
CBC-1008A | CBC Quick Setup Guide: Certified Providers (English) | 06/01/2024 |
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ADDPC-2230A | Pathways to the Future: ABLE (English) | 06/01/2024 |
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AAA-1310D | Annual World Elder Abuse Awareness Day (WEAAD) Conference | 06/01/2024 |