You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
AAA-1350A | Caregiver Registration Form | 10/01/2023 |
UB-106A | Weekly Claim for Unemployment Insurance (UI) Benefits (English) | 10/01/2023 |
DDD-1856A | Supported Living Planning Guide (English) | 10/01/2023 |
UB-106A-S | Weekly Claim for Unemployment Insurance (UI) Benefits (Spanish) | 10/01/2023 |
FAA-1842A-S | Remplazo de Beneficios de Asistencia Nutricional (NA) - Alimentos Destruidos en un Desastre o Desgracia | 10/01/2023 |
FAA-1842A | Replacement of Nutrition Assistance Benefits - Food Destroyed in a Disaster/Misfortune | 10/01/2023 |
AG-119 | Nutritional Health Screening Tool (English) | 10/01/2023 |
AG-119-S | Nutritional Health Screening Tool (Spanish) | 10/01/2023 |
DDD-1856A-LP | Supported Living Planning Guide - Large Print (English) | 10/01/2023 |
AAA-1182A | Arizona Nutrition, Food Service and Wellness Manual (English) | 10/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
DES-1232A | Arizona Voter Registration Form (Bilingual) | 09/01/2022 |
DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
ETA-83 | Weekly Request for Assistance | 09/01/2022 |
DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
ETA-083-S | Solicitud Semanal de Asistencia | 09/01/2022 |
ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
HRP-1032A | Commodity Senior Food Program (CSFP) Informal Dispute Resolution Meeting / Fair Hearing Request | 08/01/2022 |
HRP-1041A | Commodity Senior Food Program (CSFP) Waiting List Enrollment Notification | 08/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
UIB-1221B | How To Apply for UI Benefits (Bilingual) | 04/01/2016 |
DDD-1627A | FACT SHEET - Advance Directives End of Life Care (English/Spanish) | 06/01/2015 |
DDD-1627B | FACT SHEET - Blood Lead Poisoning | 06/01/2015 |
DDD-1627C | FACT SHEET - Immunizations (Shots) (English/Spanish) | 06/01/2015 |
DDD-1717A | Hot Topics - Heat Hazards | 05/01/2015 |
DDD-1698A-S | Dental Care Ages Birth - 21 (Spanish) | 04/01/2015 |
DDD-1698A | Dental Care Ages Birth - 21 (English) | 04/01/2015 |
PAD-588-PD | Decisions About Your Health Care | 11/01/2011 |
PAD-588-PDS | Decisiones sobre el cuidado de su salud | 11/01/2011 |
DDD-1558A | Choking (Prevention is No Accident!) (English) | 11/01/2011 |
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