You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
CSE-1225A | Caretakers Raising Children (English) | 02/01/2023 |
CCA-1216A | Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES | 02/01/2023 |
CSE-1225A-S | Caretakers Raising Children (Spanish) | 02/01/2023 |
DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
WIO-1084A | WIOA Title I-B Adult and Dislocated Worker Incentive Approval Request Form (English) | 12/01/2018 |
ES-935 | Claimant’s Affidavit of Federal Civilian Service, Wages, and Reason for Separation - UCFE | 12/01/2018 |
GCI-1021G-J | Individualized Family Service Plan (Addendum) - Packet | 12/01/2018 |
GCI-1021G-J-S | Plan Individualizado de Servicio Familiar (Adenda) - Paquete | 12/01/2018 |
AH-800-S | ¿Qué Servicios Cubre el Seguro de Salud de AHCCCS? | 11/01/2018 |
SNA-1022A | Transportation-Related Expense | 11/01/2018 |
SNA-1027A | Work Focus | 11/01/2018 |
SNA-1022A-S | Exención De Gastos De Transporte | 11/01/2018 |
SNA-1027A-S | Enfoque de Trabajo | 11/01/2018 |
SNA-1012A | SNA E&T Referral to Provider | 11/01/2018 |
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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