You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FY2024-Budget | Fiscal Year 2024 DES Budget Request | 09/02/2022 |
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CCA-1101A-S | Proveedores de Cuidado de Niños en Arizona | 09/01/2022 |
|
RSA-1313A-SLP | Autorización de Divulgación de Registros de RSA (Letra Grande) | 09/01/2022 |
|
CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
|
RSA-1313A-LP | Authorization for Release of RSA Records (Large Print) | 09/01/2022 |
|
RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
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DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
|
RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
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DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
|
LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
RSA-BP1540 | Inventory Form | 06/07/2015 |
|
RSA-BP1557 | Operator Out State Travel Process | 06/07/2015 |
|
RSA-BP3508 | Facility Visitation | 06/07/2015 |
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LCR-1053A-S | Renewal Application Worksheet (Spanish) | 04/01/2015 |
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AAA-1222A | Telephone Assistance Program (TAP) Checksheet (English) | 03/01/2015 |
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AAA-1222AS | Telephone Assistance Program (TAP) Checksheet (Spanish) | 03/01/2015 |
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AG-095 | Arizona Standardized Client Assessment Plan (ASCAP) | 11/01/2014 |
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AAA-1254A | Ombudsman De-Designation Recommendation | 09/01/2014 |
|
CSE-1091A | Notification of Change of Address (English/Spanish) | 10/01/2013 |
|
DES-1071A | Language Identification - I Speak (LEP Binder Materials) | 10/01/2012 |
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Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification