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Documents Center
Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Find a Document
- Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down.
- Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks.
- You can click on the column headers to sort the search results.
| Number | Document Name | Effective Date |
|---|---|---|
| UB-113 | Combined-Wage Claim Withdrawal (English) | 07/01/2024 |
| WIO-1027A | WIOA Title IB Applicant Statement (English) | 07/01/2024 |
| FAA-1871A | Get Reminders About Your Nutrition and Cash Assistance Application and Benefits (English) | 07/01/2024 |
| UB-113-S | Combined-Wage Claim Withdrawal (Spanish) | 07/01/2024 |
| WIO-1027A-S | WIOA Title IB Applicant Statement (Spanish) | 07/01/2024 |
| ESA-1349A | Migrant and Seasonal Farmworker Orientation (English) | 07/01/2024 |
| DDD-1003A | PASRR II Assessment (English) | 07/01/2024 |
| J-930-A-SLP | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) - Large Print (Spanish) | 07/01/2024 |
| J-930-A-LP | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) - Large Print (English) | 07/01/2024 |
| DCAD-STCS | Short-Term Crisis Services (STCS) Policy | 07/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-0308A | Individual Emergency Information - Residential | 07/01/2023 |
| ESA-1306A | Employment Service Registration (English) | 07/01/2023 |
| FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
| CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care (English) | 07/01/2023 |
| ESA-1306A-S | Employment Service Registration (Spanish) | 07/01/2023 |
| FAA-1415A-LP | Illegal Drug Use Statement - Large Print (English) | 07/01/2023 |
| CCA-1176A-S | Parent/Guardian Affidavit of Non-Compensated Child Care (Spanish) | 07/01/2023 |
| FAA-1724A-LP | Application Signature Pages - Large Print (English) | 07/01/2023 |
| FAA-1724A-XLP | Application Signature Pages - Extra Large Print (English) | 07/01/2023 |
| FAA-1724A-S | Application Signature Pages (Spanish) | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| 6AAC8 | Five-year Review Report - Aging and Adult Administration | 05/19/2017 |
| 30th Month Mar-2017 | 30th Month Report March Fiscal Year 2017 | 05/16/2017 |
| Statistical Bulletin April 2017 | Statistical Bulletin April 2017 | 05/11/2017 |
| Statistical Bulletin March 2017 | Statistical Bulletin March 2017 | 05/01/2017 |
| 6AAC5-Article-49 | Five-Year Review Report – Child Care Assistance | 04/28/2017 |
| 30th Month Feb-2017 | 30th Month Report February Fiscal Year 2017 | 04/18/2017 |
| Statistical Bulletin February 2017 | Statistical Bulletin February 2017 | 03/30/2017 |
| 30th Month Jan-2017 | 30th Month Report January Fiscal Year 2017 | 03/14/2017 |
| 30th Month Nov-2016 | 30th Month Report November Fiscal Year 2017 | 02/27/2017 |
| 30th Month Dec-2016 | 30th Month Report December Fiscal Year 2017 | 02/27/2017 |
| Number | Document Name | Effective Date |
|---|---|---|
| GCI-1125A | Arizona Early Intervention Program Billing Manual - October 2022 (English) | 10/01/2022 |
| EAP-1000A-S | Need Help Paying Your Energy Bill (Spanish) | 10/01/2022 |
| EAP-1000A | Need Help Paying Your Energy Bill (English) | 10/01/2022 |
| ESA-1060A | Need Help Finding a Job? (English) | 10/01/2022 |
| GCI-1070A | Child and Family Rights in the Arizona Early Intervention Program (English) | 10/01/2022 |
| GCI-1070A-S | Child and Family Rights in the Arizona Early Intervention Program (Spanish) | 10/01/2022 |
| ESA-1184A-S | Employment Services for Veterans (Spanish) | 10/01/2022 |
| CCA-0223A | Non-Certified Relative Provider (NCRP) Requirements (English/Spanish) | 09/01/2022 |
| CCA-1101A | Child Care Providers in Arizona (English) | 09/01/2022 |
| CCA-1101A-S | Child Care Providers in Arizona (Spanish) | 09/01/2022 |
Arizona State Resources
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
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