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Reports, Forms, Pamphlets and Policies

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Download	Number	Name	Effective Date
204.06 KB (204.06 KB)	FAA-1439A-XLPS	Estado de Pérdidas y Ganancias del Trabajo por Cuenta Propia (Letra Extra Grande)	06/01/2019
116.35 KB (116.35 KB)	FAA-1004A-SXLP	Designación de Titular Sustituo para la Tarjeta de EBT (Letra Extra Grande)	06/01/2019
333.94 KB (333.94 KB)	WIO-1075A	Transfer of Funds Request Form	06/01/2019
174.96 KB (174.96 KB)	FAA-1725A	Verification of Other Income	06/01/2019
700.55 KB (700.55 KB)	FAA-0155A	Recent Employment/Training Background	06/01/2019
185.46 KB (185.46 KB)	RSA-1367A	Appeal Rights	06/01/2019
152.37 KB (152.37 KB)	FAA-0155B	Recent Employment/Training Background	06/01/2019
202.46 KB (202.46 KB)	GCI-1098A	AzEIP Public Awareness Materials Order Form	06/01/2019
293.02 KB (293.02 KB)	RSA-1367A-LP	Appeal Rights (Large Print)	06/01/2019
202.62 KB (202.62 KB)	FAA-0155A-S	Antecedentes de Empleo o Capacitación	06/01/2019

Download	Number	Name	Effective Date
399.05 KB (399.05 KB)	WIA 2012 Annual Report	Arizona PY12 WIA Title IB Annual Report	10/01/2013
422.44 KB (422.44 KB)	State Performance Plan FFY 2012	FFY 2012 AzEIP Annual Performance Report	09/30/2013
673.81 KB (673.81 KB)	State Performance Plan, FFY 2005-2013	AzEIP State Performance Plan, 2005-2013	09/30/2013
1014.12 KB (1014.12 KB)	Child Care and Development Fund Plan FFY2014-2015	Child Care and Development Fund Plan FFY2014-2015	09/20/2013
126.23 KB (126.23 KB)	Statistical Bulletin August 2013	Statistical Bulletin August 2013	09/12/2013
590.19 KB (590.19 KB)	DES Welfare-2013	Annual Welfare Reform Report 2013	09/09/2013
422.82 KB (422.82 KB)	Tribal Consultation Report 2013	Tribal Consultation Report 2013	09/04/2013
544.87 KB (544.87 KB)	30th Month June 2013	30th Month Report June Fiscal Year 2013	08/23/2013
126.75 KB (126.75 KB)	Statistical Bulletin July 2013	Statistical Bulletin July 2013	08/15/2013
489.23 KB (489.23 KB)	Application for Federal Funds FFY 2013	Arizona's Part C FFY 2013 Application for Federal Funds	08/15/2013

No results available.

Download	Number	Name	Effective Date
1.62 MB (1.62 MB)	AAA-1153A	Be a Direct Care Professional!	10/01/2008
1.81 MB (1.81 MB)	AAA-1034AS	Arizona Long Term Care Ombudsman Program (Spanish)	09/01/2008
7.6 KB (7.6 KB)	DES-1049A	We Will Give You Help	09/01/2008
7.88 KB (7.88 KB)	DES-1049AS	Le Podemos Ayudar	09/01/2008
146.83 KB (146.83 KB)	FAA-1200A	What You Need to Know About AHCCCS Health Insurance Programs (English/Spanish)	04/01/2008
284.77 KB (284.77 KB)	AAA-1073A	Family Caregiver Support Program	11/01/2007
882.24 KB (882.24 KB)	Register Data Security	Register for Basic Data Security	09/27/2007
40 KB (40 KB)	FA-155-2-FFS	Trasfondo del Empleo/Capacitación Más Reciente	01/01/2006
63.21 KB (63.21 KB)	AAA-1075A	Assisted Living Residents Rights	07/01/2005
167.8 KB (167.8 KB)	AAA-1041A	A Guide for Caregivers	10/01/2002

No results available.

Download	Number	Name	Effective Date
311.22 KB (311.22 KB)	FAA-1701A-XLP	Verification of Terminated Employment (Extra Large Print)	01/01/2020
173.91 KB (173.91 KB)	UB-217C	Wage Protest	01/01/2020
269.94 KB (269.94 KB)	LCR-1084A-S	Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes	01/01/2020
430.93 KB (430.93 KB)	FAA-1546A	Sponsor Deeming Information	01/01/2020
228.4 KB (228.4 KB)	CSE-1313A-S	Sustento para Menores y Empleadores (Volante)	01/01/2020
16.74 MB (16.74 MB)	DDD-2051A	Policy Development Tool	01/01/2020
415.11 KB (415.11 KB)	EAA-1008A	E75 Diversity Builder Recognition Award Save the Date	01/01/2020
441.78 KB (441.78 KB)	FAA-1546A-S	Información de Determinar a un Patrocinador	01/01/2020
520.65 KB (520.65 KB)	FAA-0053A-LP	Verification of New/Current Employment (Large Print)	01/01/2020
234.49 KB (234.49 KB)	CSE-1312A-S	Sustento para Menores y Empleadores (Postal)	01/01/2020