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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 |
|---|---|---|---|
|
VR-2.2 | 2.2 Address Confidentiality Program (ACP) | 03/31/2021 |
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VR-2.3 | 2.3 Applicant/Client Authorization | 12/30/2022 |
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VR-2.4 | 2.4 Case Record Requirements | 06/30/2022 |
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VR-2.5 | 2.5 Signature and Signature Date Requirements | 03/31/2021 |
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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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Annual Report 2000-2001 | 2000-2001 DES Annual Report | 01/18/2002 |
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Annual Report 2001-2002 | 2001-2002 DES Annual Report | 12/31/2002 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
DDD-1987A | Agreement of Behavior Plan (English) | 08/01/2024 |
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DDD-1987A-S | Agreement of Behavior Plan (Spanish) | 08/01/2024 |
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CSE-1168A | Agreement to Accept Service by Mail - TANF Workshops | 09/01/2021 |
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CSE-1281A | Agreement to Accept Service by Mail Paternity or Establishment (English/Spanish) | 09/01/2021 |
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FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
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AH-800 | AHCCCS Information for Applicants | 11/01/2018 |
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DDD-1541A | ALTCS Enrollment Transition Information (ETI) (English) | 12/01/2022 |
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HRP-1015A | Annual Civil Rights Training (English) | 07/01/2022 |
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HRP-1015A-S | Annual Civil Rights Training (Spanish) | 07/01/2022 |
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AAA-1350C | Annual Follow Up | 05/01/2021 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
30th Month May 2021 | 30th Month Financial Report FY 2021 through May 2021 | 10/27/2021 |
|
30th Month November 2020 | 30th Month Financial Report FY 2021 through November 2020 | 02/26/2021 |
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30th Month October 2020 | 30th Month Financial Report FY 2021 through October 2020 | 02/26/2021 |
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30th Month September 2020 | 30th Month Financial Report FY 2021 through September 2020 | 02/26/2021 |
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30th Month April 2022 | 30th Month Financial Report FY 2022 through April 2022 | 06/02/2022 |
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30th Month August 2021 | 30th Month Financial Report FY 2022 through August 2021 | 10/27/2021 |
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30th Month December 2021 | 30th Month Financial Report FY 2022 through December 2021 | 01/31/2022 |
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30th Month February 2022 | 30th Month Financial Report FY 2022 through February 2022 | 03/29/2022 |
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30th Month January 2022 | 30th Month Financial Report FY 2022 through January 2022 | 03/02/2022 |
|
30th Month July 2021 | 30th Month Financial Report FY 2022 through July 2021 | 10/27/2021 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
VR-7.5 | 7.5 Policy Exceptions to Allowable Services | 03/31/2021 |
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VR-7.6 | 7.6 Client Purchase Agreement | 03/31/2022 |
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VR-8.1 | 8.1 Assessments: General | 03/31/2021 |
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VR-8.2 | 8.2 Assessments: Audiology/Ear, Nose & Throat (ENT) | 03/31/2021 |
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VR-8.3 | 8.3 Assessments: Medical/Dental | 03/31/2021 |
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VR-8.4 | 8.4 Assessments: Comprehensive Neurorehabilitation | 03/31/2021 |
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VR-8.5 | 8.5 Assessments: Psychology/Psychiatric/Mental Health | 03/31/2021 |
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VR-8.6 | 8.6 Assessments: Rehabilitative Services | 03/31/2021 |
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VR-8.7 | 8.7 Assessments: Trial Work Experience | 12/30/2022 |
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VR-8.8 | 8.8 Assessments: Vision | 03/31/2021 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
AAA-1035A | Arizona Long-Term Care Ombudsman Program (English) | 10/01/2022 |
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AAA-1035A-NAVAJO | Arizona Long-Term Care Ombudsman Program (Navajo) | 10/01/2022 |
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AAA-1035A-S | Arizona Long-Term Care Ombudsman Program (Spanish) | 10/01/2022 |
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AAA-1182A | Arizona Nutrition, Food Service and Wellness Manual (English) | 10/01/2023 |
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WIO-1112A | Arizona Reentry Program | 11/01/2019 |
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RAP-1022A-S | Arizona Rental Assistance (ARA) - (Spanish) | 02/01/2024 |
| ARA-1001A | Arizona Rental Assistance Program - Families with Children (English/Spanish) | 03/01/2024 | |
| ARA-1002A | Arizona Rental Assistance Program - Older Adults (English/Spanish) | 03/01/2024 | |
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CCA-1280A | Arizona Suspension and Expulsion Prevention Announcement | 03/01/2021 |
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WIC Outreach | Arizona WIC Outreach State Flyer | 10/01/2021 |