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Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
30th Month Jan-2018 | 30th Month Financial Report FY-2018 through Jan-2018 | 03/16/2018 |
|
30th Month January 2014 | 30th Month Report January Fiscal Year 2014 | 03/06/2014 |
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30th Month January 2020 | 30th Month Financial Report FY 2020 through January 2020 | 03/19/2020 |
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30th Month January 2021 | 30th Month Financial Report FY 2021 through January 2021 | 03/29/2021 |
|
30th Month January 2022 | 30th Month Financial Report FY 2022 through January 2022 | 03/02/2022 |
|
30th Month January 2023 | 30th Month Financial Report FY 2023 through January 2023 | 03/06/2023 |
|
30th Month January 2024 | 30th Month Financial Report FY 2024 through January 2024 | 03/05/2024 |
|
30th Month Jul-2016 | 30th Month Report July Fiscal Year 2017 | 10/27/2016 |
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30th Month July 2020 | 30th Month Financial Report FY 2021 through July 2020 | 10/08/2020 |
|
30th Month July 2021 | 30th Month Financial Report FY 2022 through July 2021 | 10/27/2021 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CCA-0004A | Accident, Illness or Injury Report (Eng/Span) | 12/01/2022 |
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CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
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CCA-0024A | Employment and Wage Verification Statement (English) | 11/01/2021 |
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CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
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CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
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CCA-0036A | Permission to Give Medication | 12/01/2022 |
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CCA-0036A-S | Permiso para Administrar Medicamentos | 12/01/2022 |
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CCA-0039A | Medical Statement (English) | 12/01/2022 |
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CCA-0039A-S | Medical Statement (Spanish) | 12/01/2022 |
|
CCA-0041A | Fair Hearing Request | 11/01/2021 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
30th Month January 2023 | 30th Month Financial Report FY 2023 through January 2023 | 03/06/2023 |
|
30th Month January 2024 | 30th Month Financial Report FY 2024 through January 2024 | 03/05/2024 |
|
30th Month Jul-2016 | 30th Month Report July Fiscal Year 2017 | 10/27/2016 |
|
30th Month July 2020 | 30th Month Financial Report FY 2021 through July 2020 | 10/08/2020 |
|
30th Month July 2021 | 30th Month Financial Report FY 2022 through July 2021 | 10/27/2021 |
|
30th Month July 2024 | 30th Month Financial Report FY 2025 through July 2024 | 07/30/2024 |
|
30th Month Jun-2015 | 30th Month Report June Fiscal Year 2015 | 10/02/2015 |
|
30th Month Jun-2017 | 30th Month Report June Fiscal Year 2017 | 10/18/2017 |
|
30th Month June 2014 | 30th Month Report June Fiscal Year 2014 | 08/05/2014 |
|
30th Month June 2019 | 30th Month Financial Report FY 2019 through June 2019 | 09/27/2019 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
VR-2.6 | 2.6 Duty to Report Abuse of a Minor | 03/31/2021 |
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VR-2.7 | 2.7 Voter Registration | 03/31/2021 |
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VR-2.8 | 2.8 Schedule A Documentation | 03/31/2021 |
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VR-2.9 | 2.9 Case Status | 03/31/2022 |
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VR-3.1 | 3.1 Referral, Orientation, Intake Interview and Application | 04/08/2024 |
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VR-3.2 | 3.2 Eligibility and Order of Selection | 03/31/2023 |
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VR-4.1 | 4.1 Legal Ability to Work in the US | 03/31/2021 |
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VR-4.2 | 4.2 Timelines for Individualized Plan for Employment (IPE) Development | 03/31/2021 |
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VR-4.3 | 4.3 IPE Development | 06/30/2022 |
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VR-4.4 | 4.4 Supported Employment IPE Development | 03/31/2021 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
AzEIP-TAB-11302023 | Updated AzEIP Early Intervention Contact Log (GCI-1094A) and Policy Reminders Technical Assistance Bulletin | 11/30/2023 |
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AzEIP-TAB-12012023 | Informed Written Consent on the Individualized Family Service Plan (IFSP) Technical Assistance Bulletin - 12/01/2023 | 12/01/2023 |
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CAP-1001A | Community Action Service Providers | 12/01/2022 |
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CAP-1001A-S | Servicios de Acción Comunitaria | 12/01/2022 |
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CBC-1000A | Arizona Centralized Background Checks (CBC) - Individual User Guide (English) | 05/01/2024 |
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CBC-1000A-S | Arizona Centralized Background Checks (CBC) - Individual User Guide (Spanish) | 05/01/2024 |
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CBC-1001A | CBC Quick Setup - Individual (English) | 04/01/2024 |
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CBC-1001A-S | CBC Quick Setup - Individual (Spanish) | 04/01/2024 |
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CBC-1002A | Arizona Centralized Background Checks (CBC) - Employer and Agency User Guide (English) | 06/01/2024 |
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CBC-1003A | CBC Quick Setup Guide Employer and Agency (English) | 04/01/2024 |