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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
CCA-1118A Notice of Compliance Review Rights 11/01/2018
SNA-1005A Employment and Career Development Plan (ECDP) 11/01/2018
LCR-1079B Abbreviated Developmental Home Compliance Review 11/01/2018
AH-800 AHCCCS Information for Applicants 11/01/2018
SNA-1005A-S Plan De Empleo Y Desarrollo Profesional (ECDP) 11/01/2018
AH-800-S ¿Qué Servicios Cubre el Seguro de Salud de AHCCCS? 11/01/2018
SNA-1012A SNA E&T Referral to Provider 11/01/2018
SNA-1012AS SNA E&T Referral to Provider (Spanish) 11/01/2018
CC-041 Fair Hearing Request 10/01/2018
DD-524-FF Authorization for Release of Information 10/01/2018



Download Number Form Name Effective Date
Child Care and Development Fund Plan FFY2014-2015 Child Care and Development Fund Plan FFY2014-2015 09/20/2013
Statistical Bulletin August 2013 Statistical Bulletin August 2013 09/12/2013
DES Welfare-2013 Annual Welfare Reform Report 2013 09/09/2013
Tribal Consultation Report 2013 Tribal Consultation Report 2013 09/04/2013
30th Month June 2013 30th Month Report June Fiscal Year 2013 08/23/2013
Statistical Bulletin July 2013 Statistical Bulletin July 2013 08/15/2013
Application for Federal Funds FFY 2013 Arizona's Part C FFY 2013 Application for Federal Funds 08/15/2013
Statistical Bulletin June 2013 Statistical Bulletin June 2013 07/29/2013
30th Month May 2013 30th Month Report May Fiscal Year 2013 07/08/2013
SSBG Plan 2013-2014 Social Services Block Grant Plan 2013-2014 07/01/2013



No results available.



Download Number Form Name Effective Date
EN-025-S Programas de Asistencia Alimenticia en Arizona 09/01/2013
PAD-195 Statement of Rights 08/01/2013
PAD-195-S Declaración de Derechos 08/01/2013
GCI-1070A Child and Family Rights in the Arizona Early Intervention Program 07/01/2013
GCI-1070A-S Derechos del Menor y la Familia bajo en Programa de Intervención Temprana de Arizona (AzEIP) 07/01/2013
RSA-PL8243 Client Assistance Program 06/20/2013
PAY-626 Non-Certified Relative Child Care Provider Program 04/01/2013
PAY-626-S Programa de Parientes como Proveedores No Certificados de Cuidado de Niños 04/01/2013
GCI-1081A-S La Importancia de la Historia Familiar 01/01/2013
FA-177-FF Claim of Good Cause (Eng/Span) 12/01/2012



Download Number Form Name Effective Date
JOB-1135A-S Programa Jobs de Arizona 06/01/2019
RSA-1367A-SLP Derechos de Apelación (Letra Grande) 06/01/2019
FAA-1111A Participant Statement Verification Worksheet 06/01/2019
DDD-1821A Qualified Vendor Ready to Provide Services 06/01/2019
CCA-1227A Maximum Reimbursement Rates for Child Care 06/01/2019
FAA-1111A-S Hoja para Verificar la Declaración del Participante 06/01/2019
FAA-1530A-XLP ABAWD Participation and Referral Notice (Extra Large Print) 06/01/2019
30th Month Feb 2019 30th Month Financial Report FY 2019 through Feb 2019 05/13/2019
Statistical Bulletin March 2019 Statistical Bulletin March 2019 05/03/2019
AAA-1035A Arizona Long-Term Care Ombudsman Program 05/01/2019

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