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Download Number Form Name Effective Date
FAA-0053A-XLP Verification of New/Current Employment (Extra Large Print) 01/01/2020
HRP-1039A-S Programa Suplementario de Comestibles Básicos (CSFP) Derechos y obligaciones del participante 01/01/2020
FAA-1546A Sponsor Deeming Information 01/01/2020
FAA-1523A-S Acuerdo de responsabilidad personal (PRA) del programa de asistencia en efectivo 01/01/2020
LCR-1084A-S Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes 01/01/2020
FAA-1546A-S Información de Determinar a un Patrocinador 01/01/2020
FAA-1701A-LP Verification of Terminated Employment (Large Print) 01/01/2020
FAA-1145A Authorization to Share Information (English/Spanish) 01/01/2020
FAA-1701A Verification of Terminated Employment 01/01/2020
FAA-1523A Cash Programs Personal Responsibility Agreement (PRA) 01/01/2020

Download Number Form Name Effective Date
Statistical Bulletin April 2018 Statistical Bulletin April 2018 10/15/2019
GCBVI 2019 Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2019 10/03/2019
30th Month June 2019 30th Month Financial Report FY 2019 through June 2019 09/27/2019
Family Support Program 2019 DDD Family Support Program Annual Report 2019 09/27/2019
Statistical Bulletin August 2019 Statistical Bulletin August 2019 09/26/2019
CHRP Policy and Procedure Manual Arizona Coordinated Hunger Relief - The Emergency Food Assistance Program (TEFAP) Commodity Senior Food Program (CSFP) Policy and Procedure Manual 09/23/2019
FY2021-Budget Fiscal Year 2021 DES Budget Request 09/05/2019
DES Welfare-2019 SFY 2019 Annual Welfare Reform Report 08/28/2019
Statistical Bulletin July 2019 Statistical Bulletin July 2019 08/23/2019
EEO Utilization Report Equal Employment Opportunity Utilization Report 08/16/2019

No results available.

Download Number Form Name Effective Date
WIO-1114A Second Chance Centers 01/01/2020
FAA-0032A-XLP Information Needed to Complete Your Case (English/Spanish - Extra Large Print) 01/01/2020
CSE-1312A-S Sustento para Menores y Empleadores (Postal) 01/01/2020
FAA-1513A-LP Time Savings Tips (Large Print) 01/01/2020
FAA-1758A FNS Certification Flyer (English/Spanish) 01/01/2020
FAA-0177A Claim of Good Cause (Eng/Span) 01/01/2020
AAA-1341A Local Medicare Help 01/01/2020
EAA-1008A E75 Diversity Builder Recognition Award Save the Date 01/01/2020
FAA-1513A-XLP Time Savings Tips (Extra Large Print) 01/01/2020
CSE-1312A Child Support and Employers (Postcard) 01/01/2020


Download Number Form Name Effective Date
CSE-1157A Non-Custodial Parent Request for Administrative Review (Eng/Span) 02/01/2020
DDD-1500A ALTCS Member Service Plan 02/01/2020
CSE-1051A-S Cómo Solicitar Servicios de Sustento para Menores Bajo el Título IV-D 02/01/2020
RSA-1242A-LP Vocational Rehabilitation Transition (Large Print) 02/01/2020
DDD-1530A Managed Risk Agreement Services and/or Placement 02/01/2020
CSE-1276A Hardship Program Flyer 02/01/2020
RSA-1242A-SLP Transición con la Rehabilitación Vocacional (Letra Grande) 02/01/2020
DDD-1309B AHCCCS/ALTCS/DDD Member Contingency/Back-up Plan 02/01/2020
CSE-1246B Child Support Services Program Overview (Bilingual) 02/01/2020
AAA-1289A Family Caregiver Support Program 02/01/2020

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