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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 |
|---|---|---|
| DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
| LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers (English) | 02/01/2023 |
| FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
| DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
| DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
| DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
| DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
| DDD-1883A-S | ¿Qué es PASRR? Una guía para las familias | 02/01/2023 |
| CSE-1225A | Caretakers Raising Children (English) | 02/01/2023 |
| WIO-1108A | WIOA EO Monitoring Review Guide (English) | 02/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-1406C | Career Preparation and Readiness - Individual Training Agreement | 06/01/2018 |
| DDD-1406B | Career Preparation and Readiness - Six-Month Report | 06/01/2018 |
| DDD-1661B | Prior Authorization (English) | 06/01/2018 |
| DD-024 | Developmental Home Progress Report | 06/01/2018 |
| DDD-1404C | Employment Support Aide - Quality Assurance Review | 05/01/2018 |
| CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers (English) | 05/01/2018 |
| CCA-1141A-S | Direct Deposit Enrollment - DES Certified Homes/Relative Providers (Spanish) | 05/01/2018 |
| UB-296 | Report of Illness or Physical Disability (English) | 05/01/2018 |
| UB-296-S | Report of Illness or Physical Disability (Spanish) | 05/01/2018 |
| PPP-1063A-S | HIPAA Privacy Complaints (Spanish) | 05/01/2018 |
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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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