You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name |
Effective Date |
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PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
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FAA-1714A-S | Mid Approval Contact - Lobby (Spanish) | 07/01/2023 |
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FAA-1410A-SXLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Extra Grande) | 07/01/2023 |
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FAA-1492A-S | Representantes Autorizados - Derechos y Responsabilidades | 07/01/2023 |
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FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
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FAA-0620D | Supplemental Pages for the Treatment Center Monthly Roster | 07/01/2023 |
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FAA-1513A | Time Saving Tips | 07/01/2023 |
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FAA-1415A | Illegal Drug Use Statement (English) | 07/01/2023 |
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CCA-1198A | Acknowledgement of Receipt and Understanding | 07/01/2023 |
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FAA-0620C | Treatment Center Monthly Roster | 07/01/2023 |
Download | Number | Name | Effective Date |
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FAA-1765A | Authority to Release Information | 05/01/2023 |
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DDD-0211A | Home Modifications Service Referral and Request (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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FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
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FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
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FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
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FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
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UIB-1263A | Request for Overpayment Waiver (English) | 04/01/2023 |
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SWP-1000A | Shared Work Program Employer Handbook | 04/01/2023 |
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DDD-1693A | Prevention and Support New Instructor Clinic Packet (English) | 04/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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30th Month Nov-2016 | 30th Month Report November Fiscal Year 2016 | 01/19/2016 |
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Statistical Bulletin December 2015 | Statistical Bulletin December 2015 | 01/13/2016 |
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Annual Report 2014-2015 | 2014-2015 DES Annual Report | 12/23/2015 |
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30th Month Oct-2016 | 30th Month Report October Fiscal Year 2016 | 12/21/2015 |
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Statistical Bulletin November 2015 | Statistical Bulletin November 2015 | 12/15/2015 |
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Statistical Bulletin October 2015 | Statistical Bulletin October 2015 | 11/23/2015 |
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Domestic Violence Monies Dec 2015 | Domestic Violence Monies Report Dec 2015 (English) | 11/20/2015 |
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30th Month Sep-2016 | 30th Month Report September Fiscal Year 2016 | 11/12/2015 |
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6AAC18 | Five-year Review Report - Office of Licensing, Certification and Registration | 10/30/2015 |
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30th Month Aug-2016 | 30th Month Report August Fiscal Year 2016 | 10/14/2015 |
Download | Number | Name | Effective Date |
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CCA-1294A | Provider Registration Agreement Tutorial (English) | 09/01/2021 |
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CCA-1294A-S | Provider Registration Agreement Tutorial (Spanish) | 09/01/2021 |
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VR-1018A | Vocational Rehabilitation (VR) | 09/01/2021 |
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VR-1018A-S | Rehabilitación Vocacional (VR) | 09/01/2021 |
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CCA-1291A | Empower Program (English) | 08/01/2021 |
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CCA-1293A | Child Care at Residential Homeless/Domestic Violence Shelter | 08/01/2021 |
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CSE-1229A | GED Back-To-School Incentive Program (English/Spanish) | 08/01/2021 |
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FAA-1810B | Register to vote (Eng/Spa/Navajo) | 08/01/2021 |
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UIB-1243A | Pandemic Unemployment Assistance Handbook (English) | 08/01/2021 |
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FAA-1810C | Register to vote (Eng/Spa/Apache) | 08/01/2021 |
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