You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
ESA-1184D | Veteran’s Priority of Service ID Card (English) | 12/01/2022 |
DDD-0208A-S | Community Living Services (CLS) Application and Agreement (Spanish) | 12/01/2022 |
CCA-0039A-S | Medical Statement (Spanish) | 12/01/2022 |
EAP-1004A | Applicant Statement of Tribal LIHEAP Denial (English) | 12/01/2022 |
DDD-0208A | Community Living Services (CLS) Application and Agreement (English) | 12/01/2022 |
LCR-1000A | Agency Compliance Audit Checklist (English) | 12/01/2022 |
AAA-1180A | Volunteer Application | 12/01/2022 |
LCR-1000C | Corrective Action Plan (Agency) (English) | 12/01/2022 |
DDD-1541A | ALTCS Enrollment Transition Information (ETI) (English) | 12/01/2022 |
LCR-1031B | Child or Adult Developmental Home Caregiver Assessment Guide (English) | 12/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
UB-101-B-FFS | Afirmación del Plan de Acción para Búsqueda de Trabajo | 11/01/2011 |
GCI-1049AS | No Contact Letter (Spanish) | 08/01/2011 |
AAA-1163A | Ombudsman Case | 04/01/2011 |
AAA-1188A | Long Term Care Ombudsman Manual | 03/23/2011 |
GCI-1097A | AzEIP Quarterly Progress Report (English) | 10/01/2010 |
AAA-1190A | Volunteer Reference Check | 09/01/2010 |
RSA-LP5651 | Transition Protocol (Large Print) | 06/25/2010 |
RSA-TT5650 | Transition Protocol form | 06/25/2010 |
AG-031-R | Social Service Report and Instructions for Registered Services | 03/01/2010 |
AG-030-A-FF | Congregate Meals Report | 07/01/2009 |
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