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| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
HRP-1013A | The Emergency Food Assistance Program (TEFAP) / Programa de Asistencia de Alimentos de Emergencia (TEFAP) Household Distribution Site Sign-In Sheet / Hoja de Registro del Centro de Deistribición a los hogares | 01/01/2019 |
|
FA-001-P-LP | HEA+plus Signature Pages (Large Print) | 01/01/2019 |
|
HRP-1014A | Civil Rights Complaint / Grievance | 01/01/2019 |
|
FA-001-P-S-LP | Hoja de Firmas HEA+plus (Letra Grande) | 01/01/2019 |
|
FA-001-P-XLP | HEA+plus Signature Pages (Extra Large Print) | 01/01/2019 |
|
GCI-1021A-J-S | Plan Individualizado de Servicio Familiar - Paquete | 01/01/2019 |
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FA-001-P-S-XLP | Hoja de Firmas HEA+plus (Letra Extra Grande) | 01/01/2019 |
|
FAA-1475A | Verification of Out-Of-State Benefits | 01/01/2019 |
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GCI-1077A | Complaint Request | 01/01/2019 |
|
UB-099-Y | Certificate of Understanding (Eng/Span) | 01/01/2019 |
| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
30th Month June-2018 | 30th Month Financial Report FY-2018 through Jun-2018 | 09/05/2018 |
|
WIO-1082A | WIOA Title I Program Year 16 Annual Report | 08/29/2018 |
|
Statistical Bulletin July 2018 | Statistical Bulletin July 2018 | 08/15/2018 |
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Statistical Bulletin June 2018 | Statistical Bulletin June 2018 | 07/25/2018 |
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Family Support Program 2017 | DDD Family Support Program Annual Report 2017 | 07/16/2018 |
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30th Month May-2018 | 30th Month Financial Report FY-2018 through May-2018 | 07/06/2018 |
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CCA Market Rate Survey 18 | Child Care Market Rate Survey 2018 | 07/01/2018 |
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SSBG Plan 2018-2019 | Social Services Block Grant Plan 2018-2019 | 07/01/2018 |
|
6AAC11 | Five-Year-Review Report - The Job Training Partnership Act | 06/30/2018 |
|
6AAC4 | Five-Year-Review Report - Rehabilitation Services | 06/30/2018 |
| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
DDD-1732A | Incontinence Briefs for Adults 21 Years and older | 11/01/2018 |
|
Columbus Day | Columbus Day | 10/08/2018 |
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FAA-1045A-S | Cómo utilizar su targeta de EBT de Arizona | 10/01/2018 |
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HRP-1048A-S | El Programa de Asistencia de Alimentos de Emergencia | 10/01/2018 |
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GCI-1000A | Watch How I Grow (English/Spanish) | 10/01/2018 |
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PAD-465-S | Sistema de Cuidado a Largo Plazo de Arizona (ALTCS) | 10/01/2018 |
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FAA-1045A | How to Use Your Arizona EBT Card | 10/01/2018 |
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PAD-465 | Arizona Long Term Care System (ALTCS) Member Handbook | 10/01/2018 |
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AAA-1034A | Arizona Long-Term Care Ombudsman Program | 10/01/2018 |
|
HRP-1048A | The Emergency Food Assistance Program (TEFAP) | 10/01/2018 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
GCI-1077A-S | Solicitud de Reclamo | 01/01/2019 |
|
POX-248 | Americans with Disabilities Act Notice | 01/01/2019 |
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GCI-1021A-J | Individualized Family Service Plan - Packet | 01/01/2019 |
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Five Year Strategic Plan SFY 2019 - 2023 | Five Year Strategic Plan SFY 2019 - 2023 | 01/01/2019 |
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HRP-1001A | USDA Commodity Loss Report (CLR) | 01/01/2019 |
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FAA-1573A-LP | Rights and Responsibilities (Large Print) | 01/01/2019 |
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LCR-1079C | Completion Guide for Forms LCR-1079A & LCR-1079B Developmental Home Compliance Review Instructions | 01/01/2019 |
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HRP-1003A | Commodity Disposal Report (CDR) | 01/01/2019 |
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FAA-1573A-LP-S | Derechos y Responsabilidades (Letra Grande) | 01/01/2019 |
|
GCI-1021A-J-S | Plan Individualizado de Servicio Familiar - Paquete | 01/01/2019 |
