You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
|
FAA-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
|
GCI-1037A-S | Aviso o Recomendación de la Agencia de Educación Pública (PEA) | 05/01/2023 |
|
FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 05/01/2023 |
|
AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
|
CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
|
FAA-0412A-SXLP | Change Report - Extra Large Print (Spanish) | 05/01/2023 |
|
GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
|
FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
|
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1186A | Authority to Release Information | 11/01/2021 |
|
GCI-1098A | AzEIP Public Awareness Materials Order Form | 11/01/2021 |
|
CCA-1235A | CCA Change Report | 11/01/2021 |
|
CCA-1235A-S | CCA Informe de Cambios | 11/01/2021 |
|
DDD-1984A | Behavior Plan / Packet Requirements (English) | 11/01/2021 |
|
DDD-1984A-S | Behavior Plan / Packet Requirements (Spanish) | 11/01/2021 |
|
SNA-1066A | Voluntary Participation Agreement | 10/01/2021 |
|
DDD-1661A | DDD Tribal Health Program (THP) Equipment and Supplies Prior Authorization | 10/01/2021 |
|
LCR-1079A | Developmental Home Compliance Review | 09/01/2021 |
|
DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
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