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Download Number Form Name Effective Date
FAA-0077A-LP Information Request and Pending Information Agreement (Large Print) 10/01/2019
GCI-1113A Child Transfer Form 10/01/2019
FAA-0077A-SLP Solicitud de Información y Acuerdo para Proporcionar Información que Falta (Letra Grande) 10/01/2019
LCR-1034A-S Afidávit de Auto Revelación de la Historial Criminal 10/01/2019
CSE-1290A Caretakers Statement Regarding Physical Custody of a Child 10/01/2019
DDD-1551A - Order Form Medallion Program - Order Form 10/01/2019
CSE-1290A-S Declaración del Cuidador Referente a la Custodia Física de un Menor o Menores 10/01/2019
ESA-1314B Notification of Complaint to Employer 10/01/2019
DDD-1551A-S Programa de Medalla de Identificación – Formulario de Pedidos 10/01/2019
CSE-1156A Affidavit of Receipt of Direct Payments / Afidávit del Recibo de Pagos Directos 10/01/2019

Download Number Form Name Effective Date
APS SFY 2018 Adult Protective Services Annual Activity 2018 Report 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
30th Month Aug-2018 30th Month Financial Report FY-2019 through Aug-2018 12/12/2018
30th Month Sep-2018 30th Month Financial Report FY-2019 through Sep-2018 12/10/2018
Statistical Bulletin October 2018 Statistical Bulletin October 2018 11/27/2018
GCBVI 2018 Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2018 11/21/2018
DES Welfare-2018 Annual Welfare Reform Report 2018 11/16/2018
DES Welfare-2017 Annual Welfare Reform Report 2017 11/16/2018

No results available.

Download Number Form Name Effective Date
PAY-519 CCA-0519A (FY19) 09/01/2019
WIO-1130A-S Presentar una Queja 09/01/2019
CCA-0519A-S Programas de Cuidado de Niños (FY19) 09/01/2019
DES-1139A Services Provided by DES 09/01/2019
RSA-1385A BEP Guide for New VR Clients 09/01/2019
Escalation Criteria for Contract Action Unit Review Escalation Criteria for Contract Action Unit Review 08/26/2019
UIB-1241A Take Care of Unemployment Business by the Internet or Telephone 08/01/2019
UIB-1241A-S Atender los Asuntos de UI por Internet o por Teléfono 08/01/2019
DDD-1721A Building a Relationship with a Direct Care Worker 08/01/2019
POU-003 Notice to Employees 08/01/2019


Download Number Form Name Effective Date
FAA-1724A-XLPS Sistema de Contención de Costos del Cuidado de la Salud de Arizona (AHCCCS) 11/01/2019
WIO-1131F SNAP CAN Desert Poster 6 11/01/2019
WIO-1131A-S Póster del desierto de SNAP CAN 1 11/01/2019
WIO-1131G SNAP CAN Desert Poster 7 11/01/2019
WIO-1131B-S Póster del desierto de SNAP CAN 2 11/01/2019
WIO-1131C-S Póster del desierto de SNAP CAN 3 11/01/2019
WIO-1131D-S Póster del desierto de SNAP CAN 4 11/01/2019
WIO-1131E-S Póster del desierto de SNAP CAN 5 11/01/2019
WIO-1131F-S Póster del desierto de SNAP CAN 6 11/01/2019
CCA-0201A Certification Statement for Providing Child Care Services 11/01/2019

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