You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
|
CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
|
FAA-0412A-XLP | Change Report - Extra Large Print (English) | 05/01/2023 |
|
FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
|
FAA-1506A | Statement of No Income (English) | 05/01/2023 |
|
DDD-1622A | Home Modification Requests Support Coordinator’s (SC) Checklist (English) | 05/01/2023 |
|
FAA-0255A | Separate Household Status Statement | 05/01/2023 |
|
FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
|
CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
|
FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2113A | DDD-EVV Member Contingency / IP Model Back-up Plan (English) | 01/01/2022 |
|
UIA-1043A | Registration for State Information Data Exchange System (SIDES) E-Response | 01/01/2022 |
|
DDD-1857A | Residential Services Option Comparison | 12/01/2021 |
|
DDD-1857A-S | Comparación de opciones de servicios residenciales | 12/01/2021 |
|
AAA-1381A | Arizona Caregiver Coalition Quarterly Summary Report | 12/01/2021 |
|
CCA-1235A | CCA Change Report | 11/01/2021 |
|
CCA-1186A | Authority to Release Information | 11/01/2021 |
|
CCA-1235A-S | CCA Informe de Cambios | 11/01/2021 |
|
GCI-1098A | AzEIP Public Awareness Materials Order Form | 11/01/2021 |
|
CCA-0041A | Fair Hearing Request | 11/01/2021 |
Stay up-to-date with news and updates delivered straight to your inbox
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