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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-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
| FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
| FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
| FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
| FAA-0257A | Individual Development Account Agreement (English) | 05/01/2023 |
| CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
| DDD-1622A | Home Modification Requests Support Coordinator’s (SC) Checklist (English) | 05/01/2023 |
| FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
| FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 05/01/2023 |
| DDD-1678A | Home Modifications Service Assessment (English) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| GCI-1084A | Hearing Screening Tracking (English) | 06/01/2020 |
| GCI-1084A-S | Hearing Screening Tracking (Spanish) | 06/01/2020 |
| GCI-1088A | Child and Family Assessment Guide for Families (Accessible) | 06/01/2020 |
| GCI-1082A | Consent for Screening - Prior Written Notice | 06/01/2020 |
| GCI-1082A-S | Consentimiento para Evaluación - Notificación Previa por Escrito | 06/01/2020 |
| CSE-1314A | Child Supplemental Page (English / Spanish) | 06/01/2020 |
| LCR-1053A | Renewal Application Worksheet (English) | 06/01/2020 |
| GCI-1118A | Arizona Early Intervention Program Non-DES Employee Training Planning and Tracking Form (English) | 06/01/2020 |
| GCI-1119A | Standards of Practice Checklist (English) | 06/01/2020 |
| CSE-1016A | Waiver of Paternity Affidavit (English/Spanish) | 06/01/2020 |
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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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