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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 |
|---|---|---|
| DDD-2242A | Authorization for Transmission of Protected Health Information Via Unsecured Email | 09/01/2023 |
| WIOA-1045 | Arizona Job Connection (AJC) Service Code Dictionary (English) | 09/01/2023 |
| Five Year Strategic Plan SFY 2024 - 2028 | Five Year Strategic Plan SFY 2024 - 2028 | 08/31/2023 |
| Statistical Bulletin July 2023 | Statistical Bulletin July 2023 | 08/16/2023 |
| DCAD-LIHWAP-1 | Low Income Household Water Assistance Program Policy - Rev. 7 Sunset | 08/08/2023 |
| FAA-1125A | Tribal/FAA - Turn Around Document (TAD) | 08/01/2023 |
| DDD-2223A | RFQVA DDD-2024 Attestation of Policy Development Tool (English) | 08/01/2023 |
| RRP-1015A-Farsi | Statement of Understanding (Farsi) | 08/01/2023 |
| APS-1032A | Authorization to Release Non-HIPAA Information Form (English) | 08/01/2023 |
| RRP-1015A-Haitian Creole | Statement of Understanding (Haitian Creole) | 08/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| RSA-1313A-LP | Authorization for Release of RSA Records (Large Print) | 09/01/2022 |
| RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
| HRP-1040A | Annual USDA Commodity Food Service Application and Agreement Between Regional Food Bank and Distribution Site | 09/01/2022 |
| GCI-1096A | Individual Family Teaming Report | 09/01/2022 |
| RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
| UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
| UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
| ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
| ETA-081-S | Solicitud Inicial de asistencia para desempleados por desastre | 09/01/2022 |
| CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| HPY-330 | Article 52: Certification and Supervision of Family Child Care Home Providers (English/Spanish) – EFF | 12/01/2018 |
| DDD-1732A-S | Incontinence Briefs for Adults 21 Years and older (Spanish) | 11/01/2018 |
| DDD-1732A | Incontinence Briefs for Adults 21 Years and older (English) | 11/01/2018 |
| DUA-1002A | Disaster Unemployment Assistance (Bilingual) | 08/01/2018 |
| GCI-1007A | Arizona Early Intervention Program (AzEIP) (English) | 07/01/2018 |
| GCI-1007A-S | Arizona Early Intervention Program (AzEIP) (Spanish) | 07/01/2018 |
| VOS-1012A | Where Volunteers are Valued | 04/01/2018 |
| PAU-592 | Data Disclosure Information and Fee Schedule | 04/01/2018 |
| DDD-1896A | Employment Services: Do You Want To Work? | 03/01/2018 |
| DDD-1896A-S | Servicios de Empleo de la DDD: ¿Desea Trabajar? | 03/01/2018 |
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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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