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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 |
|---|---|---|---|
|
RSA-1312A | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
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CCA-1261A | Certified Family Child Care Provider Application | 07/01/2019 |
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RSA-1312A-S | Autorización Para Divulgación De Información De Salud a RSA | 07/01/2019 |
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CSE-1251A | Fact Sheet for Minor Parents (English/Spanish) | 07/01/2019 |
|
Statistical Bulletin June 2019 | Statistical Bulletin June 2019 | 07/15/2019 |
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30th Month Mar 2019 | 30th Month Financial Report FY 2019 through Mar 2019 | 07/26/2019 |
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30th Month Apr 2019 | 30th Month Financial Report FY 2019 through Apr 2019 | 07/26/2019 |
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30th Month May 2019 | 30th Month Financial Report FY 2019 through May 2019 | 07/26/2019 |
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DDD-0524A | Authorization for Release of Information (English) | 08/01/2019 |
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UIB-1241A | Take Care of Unemployment Business by the Internet or Telephone (English) | 08/01/2019 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CCA-0100A | Provider's Child Care Operational Information | 01/01/2023 |
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CCA-0100A-S | Información de las Operaciones de un Proveedor de Cuidado de Niños | 01/01/2023 |
|
OEO-1005A | Limited English Proficiency (LEP) Annual Monitoring Report Requirements Checklist | 01/01/2023 |
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DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
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DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
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LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
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DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
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FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
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DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
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LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
AAA-1310D | Annual World Elder Abuse Awareness Day (WEAAD) Conference | 06/01/2024 |
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ADDPC-2230A-S | Pathways to the Future: ABLE (Spanish) | 06/01/2024 |
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DDD-2298A | The Behavioral Health Service Journey (English) | 06/01/2024 |
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CCA-1329A | Find Quality Child Care Through CCR&R (English) | 07/01/2024 |
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GCI-1000A | Watch How I Grow (English/Spanish) | 07/01/2024 |
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AAA-1431 | Annual World Elder Abuse Awareness Day (WEAAD) Conference Program | 07/01/2024 |
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FAA-1871A-S | Get Reminders About Your Nutrition and Cash Assistance Application and Benefits (Spanish) | 07/01/2024 |
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GCI-1211A | Initial Visit AzEIP Programmatic Meeting - May 2024 (English) | 07/01/2024 |
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GCI-1212A | Request for Reconsideration Process (English) | 07/01/2024 |
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FAA-1871A | Get Reminders About Your Nutrition and Cash Assistance Application and Benefits (English) | 07/01/2024 |