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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-1234A | Where Are You in the VR Process? | 11/01/2022 |
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RSA-1213A-SLP | Beneficios por discapacidad en Arizona 101 (Letra Grande) | 04/01/2022 |
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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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RSA-1213A-S | Beneficios por discapacidad en Arizona 101 | 04/01/2022 |
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RSA-1213A-LP | Disability Benefits 101 (Large Print) | 04/01/2022 |
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RSA-1213A | Disability Benefits 101 | 04/01/2022 |
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RSA-1134A-SLP | What is Vocational Rehabilitation? (Large Print) | 07/01/2022 |
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RSA-1134A-S | Qué es la Rehabilitación Vocacional | 06/01/2022 |
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RSA-1134A-LP | What is Vocational Rehabilitation? (Large Print) | 06/01/2022 |
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RSA-1134A | What is Vocational Rehabilitation? | 06/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
ESA-1126A-S | Cancellation of Direct Deposit (Spanish) | 04/01/2020 |
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ESA-1126A | Cancellation of Direct Deposit (English) | 04/01/2020 |
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ES-935 | Claimant’s Affidavit of Federal Civilian Service, Wages, and Reason for Separation - UCFE | 12/01/2018 |
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EAP-1012A-S | Limited Authorization to Release Records Transfer of LIHEAP Application to Community Navigation Provider (Spanish) | 06/01/2024 |
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EAP-1012A | Limited Authorization to Release Records Transfer of LIHEAP Application to Community Navigation Provider (English) | 06/01/2024 |
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EAP-1007A-S | Declaración del Solicitante de No Tener Ingresos | 04/01/2023 |
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EAP-1007A | Applicant Statement of No Income | 04/01/2023 |
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EAP-1006A-S | LIHEAP Portable Fuel Certification (Spanish) | 11/01/2023 |
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EAP-1006A | LIHEAP Portable Fuel Certification (English) | 11/01/2023 |
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EAP-1004A-S | Applicant Statement of Tribal LIHEAP Denial (Spanish) | 12/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
AAA-1310D | Annual World Elder Abuse Awareness Day (WEAAD) Conference | 06/01/2024 |
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AAA-1310A | World Elder Abuse Awareness Day | 03/01/2023 |
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AAA-1304A-S | Home and Community Based Services (Spanish) | 05/01/2022 |
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AAA-1304A | Home and Community Based Services (English) | 05/01/2022 |
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AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
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AAA-1289A-S | Family Caregiver Support Program (Spanish) | 05/01/2022 |
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AAA-1289A | Family Caregiver Support Program (English) | 05/01/2022 |
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AAA-1283A | Adult Protective Services (APS) (English) | 05/01/2021 |
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AAA-1265A | Mature Worker Program | 07/01/2018 |
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AAA-1189A | Long Term Care Ombudsman Volunteer Manual | 03/23/2011 |