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
UB-010 Eligibility Review Questionnaire 09/01/2018
FA-255 Separate Household Status Statement 09/01/2018
AAA-1217A Monthly Legal Services Assistance Report 09/01/2018
UB-010-S Cuestionario para Revisión de Admisibilidad 09/01/2018
DES-1077A Notice of Privacy Practices 09/01/2018
FAA-1217A Request for Verification of Godparent Specified Relative 09/01/2018
UB-105 Arizona Initial Claim for Unemployment Insurance 09/01/2018
FA-161 Tribal Native Employment Works (New) Referral 09/01/2018
FAA-1402A San Carlos Apache Tribe TANF Referral Notice 09/01/2018
UB-105-S Reclamo Inicial para Seguro por Desempleo en Arizona 09/01/2018



Download Number Form Name Effective Date
30th Month Aug-2014 30th Month Report August Fiscal Year 2014 10/30/2013
30th Month 13th 2013 30th Month Report 13th Fiscal Year 2013 10/28/2013
Statistical Bulletin September 2013 Statistical Bulletin September 2013 10/15/2013
2013 Child Care Report to JLBC 2013 Child Care Report to JLBC 10/03/2013
Family Support Program 2013 DDD Family Support Program Annual Report 2013 10/02/2013
WIA 2012 Annual Report Arizona PY12 WIA Title IB Annual Report 10/01/2013
State Performance Plan FFY 2012 FFY 2012 AzEIP Annual Performance Report 09/30/2013
State Performance Plan, FFY 2005-2013 AzEIP State Performance Plan, 2005-2013 09/30/2013
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



No results available.



Download Number Form Name Effective Date
GCI-1086A-S Una Guía Familiar para la Financiación de los Servicios de Intervención Temprana en Arizona 11/01/2012
PAD-517-S Trabajando Junto a Usted 03/01/2012
PAD-588-PD Decisions About Your Health Care 11/01/2011
PAD-588-PDS Decisiones sobre el cuidado de su salud 11/01/2011
DDD-1558A Choking (Prevention is No Accident!) 11/01/2011
PAJ-455 Job Search Skills 09/01/2011
Ombudsman Manual Ombudsman Manual 03/23/2011
RSA-LP6106 Rehabilitation Adjustment & Employment Services Brochure 10/19/2010
PPP-1122A Limited English Proficiency (LEP) Flyer 10/01/2010
OPE-1008A Office of Program Evaluation 09/01/2009



Download Number Form Name Effective Date
RSA-1298A-LP Referral Form (Large Print) 04/01/2019
HRP-1016A Volunteer Confidentiality 04/01/2019
RSA-1298A-S-LP Formulario De Recomendación (Letra Grande) 04/01/2019
DDD-1472A ISP - Annual Review and Update Packet (At Home Adult) 04/01/2019
FAA-1439A-LPS Estado de Pérdidas y Ganancias del Trabajo por Cuenta Propia (Letra Grande) 04/01/2019
DDD-1472A-S Paquete del Repaso Anual y Actualización del ISP (Adulto en el hogar) 04/01/2019
FAA-1573A-XLP Rights and Responsibilities (Extra Large Print) 04/01/2019
DDD-1472B ISP - Annual Review and Update Packet (Residential Placement) 04/01/2019
DDD-1472B-S Paquete del Repaso Anual y Actualización del ISP (La colocación residencial) 04/01/2019
FAA-1573A-XLP-S Derechos y Responsabilidades (Letra Extra Grande) 04/01/2019

Back to Top