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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 |
|---|---|---|
| DES-1139A-S | Services Provided by DES (Spanish) | 05/01/2024 |
| EAP-1002A | LIHEAP Application (English) | 05/01/2024 |
| GCI-1157C-S | Instructions for Completing the Record Review Report/Prior Written Notice (Spanish) | 05/01/2024 |
| GCI-1224A | AzEIP OnBase Manual (English) | 05/01/2024 |
| DDD-2285A | Services While Traveling Out of State (English) | 05/01/2024 |
| GCI-1131A | Indicator 1: Timely Provision of Services Child File Review Form and Guidance (English) | 05/01/2024 |
| GCI-1157A-S | Record Review Report / Prior Written Notice (Spanish) | 05/01/2024 |
| Statistical Bulletin March 2024 | Statistical Bulletin March 2024 | 04/25/2024 |
| VR-3.1 | 3.1 Referral, Orientation, Intake Interview and Application | 04/08/2024 |
| SSBG Plan 2024-2025 | Draft - SSBG Plan 2024-2025 | 04/05/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
| GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
| FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
| FAA-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
| FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
| DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
| FAA-0574A-SLP | Withdrawal or Stop Benefits/Appeal Request - Large Print (Spanish) | 05/01/2023 |
| CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
| DDD-2203A | Daily Shift Log (English) | 05/01/2023 |
| FAA-1506A | Statement of No Income (English) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| Annual Report 2013-2014 | 2013-2014 DES Annual Report | 12/23/2014 |
| Annual Report on Homelessness 2014 | 23rd Annual Report on Homelessness December 2014 | 12/23/2014 |
| 2014 Homeless Lottery Funds Report | 2014 Homeless Lottery Funds Report | 12/18/2014 |
| Statistical Bulletin November 2014 | Statistical Bulletin November 2014 | 12/15/2014 |
| Domestic Violence Monies Dec 2014 | Domestic Violence Monies Dec 2014 (English) | 11/26/2014 |
| Statistical Bulletin October 2014 | Statistical Bulletin October 2014 | 11/14/2014 |
| WIA 2013 Annual Report | Arizona PY 13 WIA Title IB Annual Report | 11/14/2014 |
| 30th Month Aug-2015 | 30th Month Report August Fiscal Year 2015 | 10/27/2014 |
| Statistical Bulletin September 2014 | Statistical Bulletin September 2014 | 10/16/2014 |
| Title XIX Reimbursement Rates Study Report 2014 | Annual Title XIX Reimbursement Rates Study Report 2014 | 10/01/2014 |
| Number | Document Name | Effective Date |
|---|---|---|
| DES-1222A-S | Recognize, Report and Prevent Abuse, Neglect, and Exploitation (Spanish) | 10/01/2021 |
| Guía de Referencia de WIC | Guía de Referencia de WIC de Arizona | 10/01/2021 |
| VR-1018A | Vocational Rehabilitation (VR) | 09/01/2021 |
| VR-1018A-S | Rehabilitación Vocacional (VR) | 09/01/2021 |
| VR-1018A-LP | Vocational Rehabilitation (VR) (Large Print) | 09/01/2021 |
| VR-1018A-SLP | Rehabilitación Vocacional (VR) (Letra Grande) | 09/01/2021 |
| CCA-1294A | Provider Registration Agreement Tutorial (English) | 09/01/2021 |
| ESA-1350A | Migrant and Seasonal Farmworkers (English/Spanish) | 09/01/2021 |
| CCA-1294A-S | Provider Registration Agreement Tutorial (Spanish) | 09/01/2021 |
| UIB-1243A | Pandemic Unemployment Assistance Handbook (English) | 08/01/2021 |
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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