Main menu

Informes, Formularios y Políticas Administrativas

El Department of Economic Security cuenta con dos bibliotecas digitales que permiten a los usuarios buscar, informes, formularios, políticas administrativas del Departamento, así como folletos y carteles con información acerca de programas y servicios específicos.



Download Number Form Name Effective Date
J-930-A Request for Effective Modification to Participate in a Program, Service, or Activity 10/01/2018
DD-524-FFS Autorización para Entregar Información 10/01/2018
J-930-A-S Solicitud de Adaptación Eficaz para Participar en un Programa, Servicio o Actividad 10/01/2018
DDD-1703A Provider Request for Central Registry Background Check 10/01/2018
CC-228 Self-Employment Budget Record 10/01/2018
CC-024A-S Declaración de Verificación de Sueldo y Empleo 10/01/2018
CC-041 Fair Hearing Request 10/01/2018
CC-228-S Registro Presupuestario de empleo propio 10/01/2018
CC-024A Employment and Wage Verification Statement 10/01/2018
FA-100 Appeal Request 10/01/2018



Download Number Form Name Effective Date
30th Month February 2014 30th Month Report February Fiscal Year 2014 04/02/2014
IDEA Part C Child Count FFY 2013 Resubmission Child Count and Settings 04/01/2014
Statistical Bulletin February 2014 Statistical Bulletin February 2014 03/28/2014
30th Month January 2014 30th Month Report January Fiscal Year 2014 03/06/2014
Statistical Bulletin January 2014 Statistical Bulletin January 2014 02/28/2014
TANF Report October 2011 TANF State Plan Effective October 1, 2011 02/25/2014
30th Month December 2014 30th Month Report December Fiscal Year 2014 02/24/2014
Annual Report 2012-2013 2012-2013 DES Annual Report 02/06/2014
Statistical Bulletin December 2013 Statistical Bulletin December 2013 02/03/2014
IDEA Part C Dispute Resolution FFY 2013 Dispute Resolution 2012-13 02/01/2014



No results available.



Download Number Form Name Effective Date
CSE-1051AS Cómo Solicitar Servicios de Sustento para Menores Bajo el Título IV-D 02/01/2014
CSE-1154A 1 Go Green With DCSS (e-Employer) - Design 1 02/01/2014
CSE-1154A 2 Go Green With DCSS (e-Employer) - Design 2 02/01/2014
CSE-1084A How Much Do I Owe? 10/01/2013
CSE-1084AS ¿Cuánto Adeudo? 10/01/2013
ESA-1056A Job Seekers Handbook 10/01/2013
FAA-1492A Authorized Representatives - Rights & Responsibilities 10/01/2013
CCA-1182AS Proveedores de Cuidado de Niños en casa, certificados por el DES 09/01/2013
EN-025 Food Assistance Programs in Arizona 09/01/2013
EN-025-S Programas de Asistencia Alimenticia en Arizona 09/01/2013



Download Number Form Name Effective Date
RSA-1298A-S-LP Formulario De Recomendación (Letra Grande) 04/01/2019
FAA-1544A Indigent Exception Worksheet 04/01/2019
FAA-1375A Nutrition Assistance Posters 04/01/2019
FAA-1439A-LPS Estado de Pérdidas y Ganancias del Trabajo por Cuenta Propia (Letra Grande) 04/01/2019
FAA-1544A-S Planilla de Excepcion por Indigencia 04/01/2019
FAA-1573A-XLP Rights and Responsibilities (Extra Large Print) 04/01/2019
DDD-1472A ISP - Annual Review and Update Packet (At Home Adult) 04/01/2019
FAA-1573A-XLP-S Derechos y Responsabilidades (Letra Extra Grande) 04/01/2019
AAA-1301A Adult Protective Services (APS) Records Request Form 04/01/2019
DDD-1472A-S Paquete del Repaso Anual y Actualización del ISP (Adulto en el hogar) 04/01/2019

Back to Top