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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 |
|---|---|---|
| RRP-1015A-Farsi | Statement of Understanding (Farsi) | 08/01/2023 |
| RRP-1015A-Haitian Creole | Statement of Understanding (Haitian Creole) | 08/01/2023 |
| DDD-1426A | Request for Incontinence Briefs for Members Ages 3 and Above (English) | 08/01/2023 |
| AAA-1301A | Adult Protective Services (APS) Records Request Form (English) | 08/01/2023 |
| DDD-2223A | RFQVA DDD-2024 Attestation of Policy Development Tool (English) | 08/01/2023 |
| J-119 | Data Sharing Request/Agreement (Single Division) (English) | 08/01/2023 |
| RRP-1015A-Kibembe | Statement of Understanding (Kibembe) | 08/01/2023 |
| UC-522-FF | Adjustment Report (English) | 08/01/2023 |
| APS-1032A | Authorization to Release Non-HIPAA Information Form (English) | 08/01/2023 |
| RRP-1015A-Kinyarwanda | Statement of Understanding (Kinyarwanda) | 08/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| HRP-1014A-S | USDA Civil Rights Complaint and Grievance (Spanish) | 02/01/2022 |
| UIA-1043A | Registration for State Information Data Exchange System (SIDES) E-Response (English) | 01/01/2022 |
| DDD-2113A | DDD-EVV Member Contingency / IP Model Back-up Plan (English) | 01/01/2022 |
| DDD-2113A-S | DDD-EVV Member Contingency / IP Model Back-up Plan (Spanish) | 01/01/2022 |
| CCA-1235A | CCA Change Report (English) | 11/01/2021 |
| CCA-1235A-S | CCA Change Report (Spanish) | 11/01/2021 |
| CCA-1186A | Authority to Release Information | 11/01/2021 |
| GCI-1098A | AzEIP Public Awareness Materials Order Form | 11/01/2021 |
| CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
| CCA-0041A | Fair Hearing Request | 11/01/2021 |
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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