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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 |
|---|---|---|---|
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CCA-1261A-S | Solicitud de Proveedor Certificado de Cuidado de Niños Familiar | 07/01/2019 |
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CCA-1262A | Home Inspection Checklist | 05/01/2019 |
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CCA-1264A | Application Completeness Review Checklist | 05/01/2019 |
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CCA-1268A | Scholarship Reimbursement Rates | 04/01/2020 |
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CCA-1269A | Sworn Statement by the Registered Family Child Care (FCC) Provider | 08/01/2020 |
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CCA-1269A-S | Declaración Jurada del Proveedor de Cuidado de Niños en el Hogar (FCC) Registrado | 08/01/2020 |
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CCA-1271A | Service Consent Form (English) | 06/01/2022 |
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CCA-1271A-S | Service Consent Form (Spanish) | 06/01/2022 |
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CCA-1272A | AZ STEPS Parent Acknowledgement | 09/01/2020 |
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CCA-1272A-S | Reconocimiento de los padres de AZ STEPS | 09/01/2020 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
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FAA-0053A-LP | Verification of New/Current Employment - Large Print (English) | 05/01/2023 |
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FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 05/01/2023 |
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FAA-0059A | Authority to Release Records | 06/01/2023 |
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FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
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FAA-0060A | Authority to Release Student Information (English) | 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-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
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FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
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FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
TANF Report October 2017 | TANF State Plan Effective October 1, 2017 | 12/05/2019 |
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TANF State Plan 2023 | TANF State Plan Effective October 1, 2023 | 07/12/2024 |
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TANF State Plan Summary | TANF State Plan Effective October 1, 2011 Summary | 10/01/2011 |
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TANF-WVP 2018 | Temporary Assistance for Needy Families (TANF) Work Verification Plan 2018 | 01/01/2018 |
| test-0004 | test report | 04/01/2023 | |
|
Title XIX Reimbursement Rates Study Report 2014 | Annual Title XIX Reimbursement Rates Study Report 2014 | 10/01/2014 |
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Tribal Consultation Report 2006 | Tribal Consultation Report 2006 | 12/31/2006 |
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Tribal Consultation Report 2008 | Tribal Consultation Report 2008 | 06/27/2008 |
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Tribal Consultation Report 2009 | Tribal Consultation Report 2009 | 06/30/2009 |
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Tribal Consultation Report 2010 | Tribal Consultation Report 2010 | 07/07/2010 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
RSA-1385A | BEP Guide for New VR Clients | 09/01/2019 |
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RSA-1437A | Annual American Indian Disability Summit (English) | 11/01/2023 |
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RSA-1437A-S | Annual American Indian Disability Summit (Spanish) | 11/01/2023 |
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RSA-1447A | Older Individuals who are Blind Program (full page flyer) | 01/01/2023 |
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RSA-1447A-S | Programa para Personas de la Tercera Edad que son Ciegas (folleto de página completa) | 01/01/2023 |
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RSA-1448A | Older Individuals who are Blind Program (1/2 page flyer) | 01/01/2023 |
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RSA-1448A-S | Programa para Personas de la Tercera Edad que son Ciegas (folleto de 1/2 página) | 01/01/2023 |
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RSA-1463A | Windmills Disability Awareness Training (English) | 08/01/2023 |
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SNA-1060A | Supplemental Nutrition Assistance -Employment and training Program | 12/01/2020 |
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SNA-1060B | Supplemental Nutrition Assistance -Employment and training Program | 12/01/2020 |