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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-2258A | What is "DDD Eligibility Redetermination"? (English/Spanish) | 11/01/2023 |
| GCI-1094A | Early Intervention Contact Log (English) | 11/01/2023 |
| DDD-2254A | DDD Eligibility for Ages 6 to Adult (English/Spanish) | 11/01/2023 |
| DDD-2238A | Home Delivered Meal Service Referral Form (English) | 11/01/2023 |
| DDD-2255A | What to Do If You Have an Emergency (English/Spanish) | 11/01/2023 |
| EAP-1006A-S | LIHEAP Portable Fuel Certification (Spanish) | 11/01/2023 |
| EAP-1006A | LIHEAP Portable Fuel Certification (English) | 11/01/2023 |
| DDD-2256A | Support Coordination (English/Spanish) | 11/01/2023 |
| GCI-1186A | Autism Screenings AzEIP Programmatic Meeting - October 2023 (English) | 11/01/2023 |
| GCI-1185A | Transition AzEIP Programmatic Meeting (English) | 11/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CC-214-S | Acuerdo de Tarifas del Proveedor de Cuidado de Niños | 11/01/2022 |
| CC-214-A | Relative Child Care Provider Rate Agreement | 11/01/2022 |
| CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
| CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
| CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
| LCR-1005A-S | Notice of Inspection Rights (Spanish) | 10/01/2022 |
| DDD-1747A-S | Assisted Living Facility (ALF) Residential Facility (Spanish) | 10/01/2022 |
| LCR-1054A | Initial Application Worksheet | 10/01/2022 |
| DDD-1991A-S | DDD Eligibility Checklist (Spanish) | 10/01/2022 |
| CCA-1021A | Unpaid Co-payment Worksheet (English) | 10/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| PAU-592 | Data Disclosure Information and Fee Schedule | 04/01/2018 |
| DDD-1896A | Employment Services: Do You Want To Work? | 03/01/2018 |
| DDD-1896A-S | Servicios de Empleo de la DDD: ¿Desea Trabajar? | 03/01/2018 |
| PAD-465-C | Definitions for AHCCCS Members | 01/01/2018 |
| HRP-1024A | SNAP Information Brochure | 11/01/2017 |
| HRP-1044A | CSFP Information Brochure | 11/01/2017 |
| DDD-1836A | Safety Information Fact Sheet #6 | 06/01/2017 |
| GCI-1102A | AzEIP Child and Family Outcomes- Accessible | 06/01/2017 |
| GCI-1102A-S | Evaluaciones de los Resultados de los Niños y las Familias - Accessible | 06/01/2017 |
| DDD-1807ACRD | Volunteer with a Human Rights Committee (Card) | 03/01/2017 |
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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