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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 |
|---|---|---|
| CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
| FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 05/01/2023 |
| DDD-2131B | Volunteers Needed/ Necesitan Voluntarios | 05/01/2023 |
| FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
| FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
| DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
| CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
| FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
| DDD-2203A | Daily Shift Log (English) | 05/01/2023 |
| FAA-1494A-LP | Authorized Representative Removal - Large Print (English) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| SNA-1045A | Acceptable Proof of Good Cause (English) | 11/01/2018 |
| SNA-1045A-S | Acceptable Proof of Good Cause (Spanish) | 11/01/2018 |
| SNA-1012AS | SNA E&T Referral to Provider (Spanish) | 11/01/2018 |
| SNA-1023A-S | Acuerdo Para Prácticas Laborales | 11/01/2018 |
| LCR-1079B | Abbreviated Developmental Home Compliance Review (English) | 11/01/2018 |
| AH-800 | AHCCCS Information for Applicants | 11/01/2018 |
| AH-800-S | ¿Qué Servicios Cubre el Seguro de Salud de AHCCCS? | 11/01/2018 |
| CC-228 | Self-Employment Budget Record | 10/01/2018 |
| CC-228-S | Registro Presupuestario de empleo propio | 10/01/2018 |
| DD-524-FFS | Autorización para Entregar Información | 10/01/2018 |
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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