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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 |
|---|---|---|---|
|
FAA-1513A | Time Saving Tips | 07/01/2023 |
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FAA-1642A | Continued Child Support Services (English/Spanish) | 07/01/2023 |
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PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
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FAA-1513A-S | Consejos para Ahorrar Tiempo | 07/01/2023 |
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GCI-1163A | FFY 2021 Correction of NonCompliance Guidance | 07/01/2023 |
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FAA-1513A-SLP | Consejos para Ahorrar Tiempo (Letra Grande) | 07/01/2023 |
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FAA-1724A-LP | Application Signature Pages (Large Print) | 07/01/2023 |
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CCA-0208A | Provider/Parent/Guardian's Agreement for Child Care Charges (English) | 07/01/2023 |
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ESA-1306A | Employment Service Registration | 07/01/2023 |
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GCI-1162A | AzEIP Interim IFSP Decision Tree | 07/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
LCR-1054A | Initial Application Worksheet | 10/01/2022 |
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ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
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HRP-1040A | Annual USDA Commodity Food Service Application and Agreement Between Regional Food Bank and Distribution Site | 09/01/2022 |
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RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
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ETA-081-S | Solicitud Inicial de asistencia para desempleados por desastre | 09/01/2022 |
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RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
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DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
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CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
|
DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
|
LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
DDD-1732A-S | Incontinence Briefs for Adults 21 Years and older (Spanish) | 11/01/2018 |
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DDD-1732A | Incontinence Briefs for Adults 21 Years and older (English) | 11/01/2018 |
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DUA-1002A | Disaster Unemployment Assistance (Bilingual) | 08/01/2018 |
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AAA-1167A-S | Asistencia Legal para los Arizonenses de la Tercera Edad | 08/01/2018 |
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AAA-1167A | Legal Assistance for Older Arizonans | 08/01/2018 |
|
AAA-1265A | Mature Worker Program | 07/01/2018 |
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GCI-1007A | Arizona Early Intervention Program (AzEIP) (English) | 07/01/2018 |
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GCI-1007A-S | Arizona Early Intervention Program (AzEIP) (Spanish) | 07/01/2018 |
|
VOS-1012A | Where Volunteers are Valued | 04/01/2018 |
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PAU-592 | Data Disclosure Information and Fee Schedule | 04/01/2018 |