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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 |
|---|---|---|---|
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CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers (English) | 05/01/2018 |
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CCA-1141A-S | Direct Deposit Enrollment - DES Certified Homes/Relative Providers (Spanish) | 05/01/2018 |
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CCA-1161A | Self-Sufficiency Statement | 09/01/2018 |
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CCA-1161A-S | Declaración de Autosuficiencia | 09/01/2018 |
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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
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CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
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CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
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CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
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CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
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CCA-1170AS | Petición para el Retiro o Terminación de Solicitud - Para Proveedores de Cuidado de Niños | 05/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
DERS-1057A | Direct Service Position | 08/01/2021 |
|
DES-1024A | Request for Identity & Citizenship or Immigration Status Determination Turn-Around Document (TAD) (English) | 07/01/2022 |
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DES-1059A | Authorization to Release Information (English/Spanish) | 09/01/2018 |
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DES-1071A | Language Identification - I Speak (LEP Binder Materials) | 10/01/2012 |
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DES-1076AS | Solicitud Para La Búsqueda En El Registro Central Con Objetivo De Verificar Antecedentes | 03/01/2018 |
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DES-1077A | Notice of Privacy Practices (English) | 09/01/2018 |
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DES-1077A-LP | Notice of Privacy Practices - Large Print (English) | 09/01/2018 |
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DES-1077A-S | Notice of Privacy Practices (Spanish) | 09/01/2018 |
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DES-1077A-S-LP | Notice of Privacy Practices - Large Print (Spanish) | 09/01/2018 |
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DES-1232A | Arizona Voter Registration Form (Bilingual) | 09/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
Statistical Bulletin May 2014 | Statistical Bulletin May 2014 | 06/13/2014 |
|
Statistical Bulletin May 2015 | Statistical Bulletin May 2015 | 07/08/2015 |
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Statistical Bulletin May 2016 | Statistical Bulletin May 2016 | 06/10/2016 |
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Statistical Bulletin May 2017 | Statistical Bulletin May 2017 | 06/14/2017 |
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Statistical Bulletin May 2018 | Statistical Bulletin May 2018 | 06/13/2018 |
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Statistical Bulletin May 2019 | Statistical Bulletin May 2019 | 06/14/2019 |
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Statistical Bulletin May 2020 | Statistical Bulletin May 2020 | 04/11/2022 |
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Statistical Bulletin May 2021 | Statistical Bulletin May 2021 | 04/11/2022 |
|
Statistical Bulletin May 2022 | Statistical Bulletin May 2022 | 06/28/2022 |
|
Statistical Bulletin May 2023 | Statistical Bulletin May 2023 | 06/22/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
JOB-1135A | Arizona Jobs Program (English) | 05/01/2024 |
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JOB-1135A-S | Arizona Jobs Program (Spanish) | 05/01/2024 |
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JOB-1136A | TANF Jobs Displacement Information (English) | 01/01/2024 |
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JOB-1136A-S | TANF Jobs Displacement Information (Spanish) | 01/01/2024 |
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LCR-1036A | Life-Safety Inspections (English) | 02/01/2020 |
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LCR-1036A-S | Life-Safety Inspections (Spanish) | 02/01/2020 |
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OBM-1000A | The Office of the Ombudsman | 01/01/2017 |
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OBM-1000A-S | La Oficina de Defensor de Cliente | 01/01/2017 |
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OCE-1010A | DES On the Spot (DOTS) | 02/01/2021 |
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OEO-1009A | Title VI/ADA Non Discrimination Notice to the Public (English / Spanish) | 08/01/2024 |