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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 |
|---|---|---|
| FAA-1415A-S | Illegal Drug Use Statement (Spanish) | 07/01/2023 |
| FAA-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
| FAA-1714A-S | Mid Approval Contact - Lobby (Spanish) | 07/01/2023 |
| CCA-1197A | Emergency Preparedness and Response Plan for Certified Family Child Care Providers (English) | 07/01/2023 |
| FAA-1145A | Authorization to Share Information (English/Spanish) | 07/01/2023 |
| PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
| ESA-1306A | Employment Service Registration (English) | 07/01/2023 |
| FAA-0620D | Supplemental Pages for the Treatment Center Monthly Roster | 07/01/2023 |
| FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
| ESA-1306A-S | Employment Service Registration (Spanish) | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-2102A | Electronic Visit Verification (EVV) Designee Attestation (English) | 09/01/2021 |
| DDD-2102A-S | Electronic Visit Verification (EVV) Designee Attestation (Spanish) | 09/01/2021 |
| CSE-1168A | Agreement to Accept Service by Mail - TANF Workshops | 09/01/2021 |
| DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
| CSE-1129A | Electronic Payment Authorization (English) | 09/01/2021 |
| CSE-1281A | Agreement to Accept Service by Mail Paternity or Establishment (English/Spanish) | 09/01/2021 |
| CSE-1129A-S | Electronic Payment Authorization (Spanish) | 09/01/2021 |
| LCR-1079A | Developmental Home Compliance Review (English) | 09/01/2021 |
| AAA-1369A | Quarterly Report Packet (English) | 08/01/2021 |
| LCR-1085A | Adult Protective Services Records Check Request | 08/01/2021 |
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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