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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 |
|---|---|---|---|
|
LCR-1028A | Agency Roster of Employees (English) | 07/01/2023 |
|
FAA-1714A | Mid Approval Contact - Lobby (English) | 07/01/2023 |
|
FAA-1825A | Elderly Simplified Application Project (ESAP) Flyer | 07/01/2023 |
|
FAA-1513A-SXLP | Consejos para Ahorrar Tiempo (Letra Extra Grande) | 07/01/2023 |
|
FAA-1714A-S | Mid Approval Contact - Lobby (Spanish) | 07/01/2023 |
|
FAA-0620C | Treatment Center Monthly Roster | 07/01/2023 |
|
GCI-1148A | Directory of Early Intervention Programs (English) | 07/01/2023 |
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GCI-1148A-S | Directory of Early Intervention Programs (Spanish) | 07/01/2023 |
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CCA-0208A | Provider/Parent/Guardian's Agreement for Child Care Charges (English) | 07/01/2023 |
|
CCA-1198A | Acknowledgement of Receipt and Understanding | 07/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
|
HRP-1040A | Annual USDA Commodity Food Service Application and Agreement Between Regional Food Bank and Distribution Site | 09/01/2022 |
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DES-1232A | Arizona Voter Registration Form (Bilingual) | 09/01/2022 |
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CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
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ETA-83 | Weekly Request for Assistance | 09/01/2022 |
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ETA-083-S | Solicitud Semanal de Asistencia | 09/01/2022 |
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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
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ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
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ETA-081-S | Solicitud Inicial de asistencia para desempleados por desastre | 09/01/2022 |
|
FAA-1570A | Cash Assistance Drug Conviction Sanction Agreement | 08/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
DDD-1896A | Employment Services: Do You Want To Work? | 03/01/2018 |
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DDD-1896A-S | Servicios de Empleo de la DDD: ¿Desea Trabajar? | 03/01/2018 |
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PAD-465-C | Definitions for AHCCCS Members | 01/01/2018 |
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HRP-1024A | SNAP Information Brochure | 11/01/2017 |
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HRP-1044A | CSFP Information Brochure | 11/01/2017 |
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DDD-1700A-S | Keep Your Baby Healthy (Spanish) | 08/14/2017 |
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DDD-1836A | Safety Information Fact Sheet #6 | 06/01/2017 |
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GCI-1102A | AzEIP Child and Family Outcomes- Accessible | 06/01/2017 |
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GCI-1102A-S | Evaluaciones de los Resultados de los Niños y las Familias - Accessible | 06/01/2017 |
|
DDD-1807ACRD-S | Volunteer with a Human Rights Committee (Card Spanish) | 03/01/2017 |