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Download Number Form Name Effective Date
FAA-0574A-XLP Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) 07/01/2019
CCA-1186A Authority to Release Information 07/01/2019
FAA-0574A-XLPS Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) 07/01/2019
FAA-0574A Withdrawal or Stop Benefits/Appeal Request 07/01/2019
DDD-1622A Home Modification Requests Support Coordinator’s (SC) Checklist 07/01/2019
FAA-0001A Application for Benefits 07/01/2019
FAA-1249A-XLP Verification of Disability 07/01/2019
FAA-0574A-LP Withdrawal or Stop Benefits/Appeal Request (Large Print) 07/01/2019
CCA-1259A DES Certified Home-Based Child-Care Provider Pre Application 07/01/2019
FAA-0001A-S Solicitud de Beneficios 07/01/2019

Download Number Form Name Effective Date
30th Month Nov 2018 30th Month Financial Report FY-2019 through Nov-2018 02/15/2019
30th Month Dec-2018 30th Month Financial Report FY-2019 through Dec-2018 02/15/2019
Statistical Bulletin December 2018 Statistical Bulletin December 2018 01/23/2019
Five Year Strategic Plan SFY 2019 - 2023 Five Year Strategic Plan SFY 2019 - 2023 01/01/2019
Annual Report on Homelessness 2018 Annual Report on Homelessness 2018 01/01/2019
2018 Homeless Lottery Funds Report 2018 Homeless Lottery Funds Report 01/01/2019
APS SFY 2018 Adult Protective Services Annual Report for SFY 2018 01/01/2019
Annual Report 2017-2018 2017-2018 DES Annual Report 12/31/2018
30th Month Oct 2018 30th Month Financial Report FY-2019 through Oct-2018 12/17/2018
Statistical Bulletin November 2018 Statistical Bulletin November 2018 12/17/2018

No results available.

Download Number Form Name Effective Date
ESA-1060A Reemployment Workforce Services 06/01/2019
ESA-1060A-S Servicios de Reintegración Laboral 06/01/2019
CSE-1299A DCSS Resource Customer Guide 06/01/2019
FAA-1407A Arizona WIC Reference Guide 05/01/2019
AAA-1324A Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing 05/01/2019
PAD-465D ALTCS Member Handbook Insert (English/Spanish) 05/01/2019
DDD-2010A Out-of-Network Claims Submission Guide 05/01/2019
FAA-1714A Mid Approval Contact (Lobby) 05/01/2019
FAA-1714A-S Contacto en el punto Medio de la Aprobación (Lobby) 05/01/2019
FAA-1407A-S Guía de Referencia de WIC de Arizona 05/01/2019


Download Number Form Name Effective Date
30th Month Apr 2019 30th Month Financial Report FY 2019 through Apr 2019 07/26/2019
30th Month May 2019 30th Month Financial Report FY 2019 through May 2019 07/26/2019
Statistical Bulletin June 2019 Statistical Bulletin June 2019 07/15/2019
DDD-1954A DDD Engagement 07/01/2019
FAA-0077A-XLPS Solicitud de Información y Acuerdo para Proporcionar Información que Falta (Letra Extra Grande) 07/01/2019
FAA-0574A-LPS Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) 07/01/2019
FAA-0574A-S Retirar o Suspender Beneficios/Solicitud de Apelación 07/01/2019
FAA-0032A Information Needed to Complete Your Case (English/Spanish) 07/01/2019
SSBG Plan 2019-2020 Social Services Block Grant Plan 2019-2020 07/01/2019
OEO-1011A One-Stop Centers Monitoring Checklist for ADA Compliance 07/01/2019

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