You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
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FAA-1494A-XLP | Authorized Representative Removal (Extra Large Print) | 05/01/2023 |
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FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
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FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
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FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
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CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
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DDD-1678A | Home Modifications Service Assessment (English) | 05/01/2023 |
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GCI-1033A | Transition Conference Summary | 05/01/2023 |
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FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
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FAA-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
LCR-1025A-S | Application for Initial HCBS Certification (Spanish) | 09/01/2020 |
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WIO-1031A | Training Program Credential Checklist (English) | 09/01/2020 |
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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 |
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GCI-1051A-S | Follow-Up Letter (Spanish) | 08/01/2020 |
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GCI-1059A | Unable to Process Letter | 08/01/2020 |
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GCI-1059AS | Carta de No poder hacer el trámite | 08/01/2020 |
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CCA-1269A | Sworn Statement by the Registered Family Child Care (FCC) Provider | 08/01/2020 |
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J-020-LP | Discrimination Complaint - Clients, Applicants and Contractors - Large Print (English) | 08/01/2020 |
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J-020 | Discrimination Complaint- Clients, Applicants and Contractors (English) | 08/01/2020 |
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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