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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
VR-1005A | Arizona Employer Toolkit | 10/01/2020 |
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AAA-1345A | Arizona Family Caregiver Reimbursement Program Packet | 12/01/2022 |
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AAA-1218A | Arizona Family Caregiver Support Program (FCSP) Quarterly Summary Report (English) | 08/01/2024 |
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UB-105 | Arizona Initial Claim for Unemployment Insurance (English) | 02/01/2024 |
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UB-105-S | Arizona Initial Claim for Unemployment Insurance (Spanish) | 02/01/2024 |
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WIO-1162A | Arizona Job Connection | 05/01/2022 |
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WIOA-1045 | Arizona Job Connection (AJC) Service Code Dictionary (English) | 09/01/2023 |
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WIO-1162B | Arizona Job Connection (SCC) | 05/01/2022 |
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JOB-1135A | Arizona Jobs Program (English) | 05/01/2024 |
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JOB-1135A-S | Arizona Jobs Program (Spanish) | 05/01/2024 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
DDD-1783A-S | Habilitation Outcome Strategies (Spanish) | 07/01/2023 |
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DDD-1784A | Habilitation Progress Report (English) | 08/01/2024 |
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DDD-1532A | Hardship Reduction Request (English) | 09/01/2019 |
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DDD-1532A-S | Hardship Reduction Request (Spanish) | 09/01/2019 |
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DDD-2039A | HCBS Member Needs Assessment | 05/01/2022 |
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DDD-2039A-LP | HCBS Member Needs Assessment (Large Print) | 05/01/2022 |
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DDD-2039A-SLP | HCBS Member Needs Assessment (Spanish Large Print) | 05/01/2022 |
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DDD-2039A-S | HCBS Member Needs Assessment (Spanish) | 05/01/2022 |
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PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
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LCR-1040A | Health Self-Disclosure | 01/01/2018 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
SNA State Plan 2016 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2016 | 06/01/2016 |
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SNA & ET State Plan 2017 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2017 | 10/12/2017 |
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SNA & ET State Plan 2018 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2018 | 10/12/2017 |
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SNA & ET State Plan 2019 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2019 | 06/01/2019 |
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SNA & ET State Plan 2020 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2020 | 08/01/2019 |
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SNA & ET State Plan 2021 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2021 | 05/11/2021 |
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SNAP Plan 2022 | Supplemental Nutrition Assistance Program State Plan for FFY22 | 05/28/2024 |
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SNAP Plan 2024 | Supplemental Nutrition Assistance Program State Plan for FFY24 | 05/28/2024 |
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ACF-202 | TANF Caseload Reduction Report FFY2022 | 02/22/2024 |
|
TANF Report 2005 | TANF State Plan Effective 2005 Amended February 2007 | 10/01/2005 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
WIO-1170A | STAR Method for Interviewing | 05/01/2022 |
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WIO-1170B | STAR Method for Interviewing (SCC) | 05/01/2022 |
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CCA-1251A | Start or Grow you Child Care Business | 10/01/2019 |
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HRA-1159A | State of Arizona Employee Benefits / How to Apply for Positions with the State of Arizona (English) | 09/01/2023 |
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HRA-1159A-S | State of Arizona Employee Benefits / How to Apply for Positions with the State of Arizona (Spanish) | 09/01/2023 |
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APS-1009A | Stop Adult Abuse | 06/01/2020 |
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WIO-1171A | Strengths | 05/01/2022 |
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WIO-1171B | Strengths (SCC) | 05/01/2022 |
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SNA-1060B | Supplemental Nutrition Assistance -Employment and training Program | 12/01/2020 |
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SNA-1060C | Supplemental Nutrition Assistance -Employment and training Program | 12/01/2020 |