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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-1312A-S | Acuerdo del Proveedor/Padre/Madre/Tutor Acerca de los Costos de Cuidado de Niños No Cubiertos por el DES | 03/01/2023 |
| CCA-0227A-S | Registro Mensual de Ingresos por Cuenta Propia | 03/01/2023 |
| DDD-1747A | Assisted Living Facility (ALF) Residential Facility (English) | 03/01/2023 |
| LCR-1064A | Statement of Understanding-Application for HCBS Certification | 03/01/2023 |
| WIO-1200A-S | The RED Reentry Program (Spanish) | 03/01/2023 |
| LCR-1064A-S | Declaración de Entendimiento Solicitud de Certificación para HCBS | 03/01/2023 |
| CCA-1312A | Provider/Parent/Guardian's Agreement for Non-DES Child Care Charges | 03/01/2023 |
| CCA-1311A | Arizona Education Workforce Scholarship Program Application (English) | 03/01/2023 |
| CCA-1311A-S | Arizona Education Workforce Scholarship Program Application (Spanish) | 03/01/2023 |
| RSA-1305A | Pre-Employment Transition Services Request Form for Students with Disabilities (English) | 03/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| LCR-1040A | Health Self-Disclosure/Physician's Statement (English) | 01/01/2018 |
| LCR-1040A-S | Health Self-Disclosure/Physician's Statement (Spanish) | 01/01/2018 |
| WIO-1061A | Training Provider Monitoring Tool | 01/01/2018 |
| WIO-1061B | Training Program Monitoring Tool | 01/01/2018 |
| PPP-1127A-S | Authorization for Disclosure of Protected Health Information (Spanish) | 01/01/2018 |
| PPP-1127A | Authorization for Disclosure of Protected Health Information (English) | 01/01/2018 |
| CS-124 | Application for IV-D Service/Genetic Testing Agreement (English/Spanish) | 12/01/2017 |
| DDD-1691A | Article 9 Instructor Application Packet (English) | 11/01/2017 |
| DDD-1403A | Individual Supported Employment - Quarterly Report (English) | 11/01/2017 |
| DDD-1403C | Individual Supported Employment - Quality Assurance Review (English) | 11/01/2017 |
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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