You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
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CCA-0227A | Self-Employment Monthly Income Log | 03/01/2023 |
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CCA-0227A-S | Registro Mensual de Ingresos por Cuenta Propia | 03/01/2023 |
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DES-1254A-S | Lista de Programas y Servicios de DES | 03/01/2023 |
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CCA-1312A | Provider/Parent/Guardian's Agreement for Non-DES Child Care Charges | 03/01/2023 |
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LCR-1064A | Statement of Understanding-Application for HCBS Certification | 03/01/2023 |
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RSA-1316A | American Indian Disability Summit Program | 03/01/2023 |
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LCR-1064A-S | Declaración de Entendimiento Solicitud de Certificación para HCBS | 03/01/2023 |
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DDD-1747A | Assisted Living Facility (ALF) Residential Facility (English) | 03/01/2023 |
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DDD-2176A | Residency Agreement (English) | 03/01/2023 |
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CCA-1311A | Arizona Education Workforce Scholarship Program Application (English) | 03/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
GCI-1082A | Consent for Screening - Prior Written Notice | 06/01/2020 |
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GCI-1088A-S | Guía de Evaluación para los Niños y sus Familias | 06/01/2020 |
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GCI-1082A-S | Consentimiento para Evaluación - Notificación Previa por Escrito | 06/01/2020 |
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LCR-1053A | Renewal Application Worksheet (English) | 06/01/2020 |
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CSE-1016A | Waiver of Paternity Affidavit (English/Spanish) | 06/01/2020 |
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SNA-1000A-S | Derechos y Responsabilidades | 06/01/2020 |
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CSE-1314A | Child Supplemental Page (English / Spanish) | 06/01/2020 |
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GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
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GCI-1039A | Consent to Obtain Information | 05/01/2020 |
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GCI-1039AS | Autorización para Obtener Información | 05/01/2020 |
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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