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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 |
|---|---|---|
| FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
| FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
| CCA-0221A-S | Declaración de Servicios del Proveedor de Cuidado en Casa de Familia | 05/01/2023 |
| FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
| GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
| DDD-2203A | Daily Shift Log (English) | 05/01/2023 |
| Statistical Bulletin March 2023 | Statistical Bulletin March 2023 | 04/21/2023 |
| LIHEAP Plan FY23 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/19/2023 |
| UIB-1263A | Request for Overpayment Waiver (English) | 04/01/2023 |
| UIB-1263A-S | Request for Overpayment Waiver (Spanish) | 04/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1259A-S | DES Certified Home-Based Child-Care Provider Pre Application (Spanish) | 06/01/2019 |
| RSA-1367A-S | Derechos de Apelación | 06/01/2019 |
| CCA-1262A | Home Inspection Checklist | 05/01/2019 |
| DDD-1403E | Job Coach Agreement Individual Supported Employment Services (English) | 05/01/2019 |
| SNA-1046A | Monthly Work Activity Report | 05/01/2019 |
| DDD-1403F | Job Search Agreement - Individual Supported Employment Services (English) | 05/01/2019 |
| SNA-1046A-S | Informe Mensual de Actividades Laborales (Monthly Work Activity Report) | 05/01/2019 |
| CCA-1264A | Application Completeness Review Checklist | 05/01/2019 |
| DDD-1404E | Employment Support Aide Agreement (English) | 05/01/2019 |
| DDD-0254A | Fire Risk Profile (English) | 04/01/2019 |
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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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