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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-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
| LCR-1084A-S | Application for Renewal or Amended HCBS Certificate for Independent Providers (Spanish) | 02/01/2023 |
| DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
| CSE-1225A | Caretakers Raising Children (English) | 02/01/2023 |
| CSE-1225A-S | Caretakers Raising Children (Spanish) | 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-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
| DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| WIO-1061A | Training Provider Monitoring Tool | 01/01/2018 |
| PPP-1127A | Authorization for Disclosure of Protected Health Information (English) | 01/01/2018 |
| WIO-1061B | Training Program Monitoring Tool | 01/01/2018 |
| CS-124 | Application for IV-D Service/Genetic Testing Agreement (English/Spanish) | 12/01/2017 |
| CCA-1061A | A Message for My Child Care Specialist | 11/01/2017 |
| CCA-1061A-S | Un Mensaje para mi Especialista en Cuidado de Niños | 11/01/2017 |
| 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 |
| DDD-1400B | Employment Services - Quality Assurance Review Summary (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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