234815
This Form is used for establishing an agreement for work experience and community service activities in Arizona.
This Form is used for conducting a Quality Assurance Review for Center Based Employment in Arizona. It helps ensure quality standards are met in center-based employment programs.
This Form is used for requesting and sharing data related to the Developmental Disabilities Services in Arizona.
This Form is used for notifying individuals in Arizona who have been added to the waiting list for the Commodity Senior Food Program (CSFP).
This Form is used for notifying the expiration of the Commodity Senior Food Program (Csfp) in Arizona.
This Form is used for notifying individuals in Arizona participating in the Commodity Senior Food Program (CSFP) about their beneficiary protections.
This form is used for requesting an informal dispute resolution meeting or fair hearing regarding the Commodity Senior Food Program (Csfp) in Arizona.
This Form is used for filing a civil rights complaint or grievance related to the Commodity Senior Food Program (CSFP) in Arizona. It allows individuals to address any concerns or discrimination they may have experienced in the program.
This form is used to provide a verbal notice of eligibility in both English and Spanish in the state of Arizona.
This form is used for the Cash Assistance Drug Conviction Sanction Agreement in Arizona.
This form is used to notify individuals in Arizona that they are ineligible for the Commodity Senior Food Program.
This Form is used for Young Adult Transitional Insurance (Yati) Tribal Referral in Arizona.
This form is used for prior authorization in Arizona. It is specifically designed for the FORFF (Family Orthodontic Redetermination/Financial Agreement) program.
This form is used for filing complaints related to limited English proficiency in Arizona.
This form is used for referring young adults in Arizona to the Young Adult Transitional Insurance (Yati) program offered by the FAA.
This type of document is used for requesting and referring home modification services in Arizona.
This form is used for a Quality Assurance Review Summary for Employment Services in Arizona.
This Form is used for sending a special message to your child care specialist in Arizona.
This Form is used for cancelling the direct deposit for Arizona residents. It is written in Spanish.
This form is used for canceling direct deposit for Arizona residents receiving unemployment benefits from the Federal-State Extended Duration program.
This document is an application packet for individuals who want to become instructors for Article 9 of the Arizona Firefighters and Fire Marshals Personnel Retirement Fund (FORFF).
This form is used for applying for IV-D services and genetic testing agreement in Arizona.
This document authorizes the disclosure of protected health information in Arizona.
This Form is used for documenting the work focus requirement for Able-Bodied Adults Without Dependents (ABAWD) in Arizona. It helps individuals applying for assistance benefits to demonstrate their compliance with the work requirements.
This form is used for reporting work activity for individuals receiving benefits under the SNAP Employment and Training (E&T) program in the state of Arizona.
This form is used for referring individuals who may benefit from Augmentative Alternative Communication (AAC) in the state of Arizona. The AAC referral packet includes necessary documentation for assessment and intervention.
This form is used for monitoring training providers in Arizona. It is a tool that helps in the evaluation and oversight of training programs.
This Form is used for reporting the average cost per mile for transportation expenses in New York.
This form is used for requesting a utility advisory appraisal in New York.
This Form is used for applying for an exemption from filing the annual financial report for a water company in the state of New York.
This Form is used for applying for an exemption from filing the CATV Annual Financial Report in New York.
This form is used for notifying property owners in New York about the assessor's determination of a loss in property value.
This form is used for lodging a complaint regarding the assessment of real property under the Lake Ontario and Connected Waterways Assessment Relief Act in New York.