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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FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
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FAA-0412A-XLP | Change Report - Extra Large Print (English) | 05/01/2023 |
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FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
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FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
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FAA-0412A-LP | Change Report - Large Print (English) | 05/01/2023 |
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FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
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FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
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FAA-0412A | Change Report (English) | 05/01/2023 |
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FAA-0620A | Treatment Center Change Report | 05/01/2023 |
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FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
Download | Number | Name | Effective Date |
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FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
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FAA-0060A | Authority to Release Student Information | 05/01/2023 |
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FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
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FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
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FAA-1701A-XLP | Verification of Terminated Employment - Extra Large Print (English) | 05/01/2022 |
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FAA-0075A | Verification of School Attendance/Verificación de Asistencia Escolar | 12/01/2019 |
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FAA-1442A | Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información | 12/01/2019 |
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AH-800 | AHCCCS Information for Applicants | 11/01/2018 |
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AH-800-S | ¿Qué Servicios Cubre el Seguro de Salud de AHCCCS? | 11/01/2018 |
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FA-065-FFS | Verificación de Arreglos de Vivienda/Dirección Residencial | 07/01/2017 |
Download | Number | Name | Effective Date |
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Five Year Strategic Plan SFY 2023 - 2027 | Five Year Strategic Plan SFY 2023 - 2027 | 07/26/2022 |
SPP-APR-C FFY2020 | State Performance Plan / Annual Performance Report: Part C FFY 2020 | 06/28/2022 | |
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Statistical Bulletin May 2022 | Statistical Bulletin May 2022 | 06/28/2022 |
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Child Count 2021 | Child Count 2021 | 06/20/2022 |
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2020 Child Count, Settings, Exits, and Dispute Resolution | 2020 Child Count, Settings, Exits, and Dispute Resolution | 06/20/2022 |
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30th Month April 2022 | 30th Month Financial Report FY 2022 through April 2022 | 06/02/2022 |
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Statistical Bulletin March 2022 | Statistical Bulletin March 2022 | 06/01/2022 |
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Statistical Bulletin April 2022 | Statistical Bulletin April 2022 | 06/01/2022 |
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6AAC3-5YRR-2021 | Five-Year Review Report - Unemployment Insurance | 06/01/2022 |
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30th Month March 2022 | 30th Month Financial Report FY 2022 through March 2022 | 04/28/2022 |
Download | Number | Name | Effective Date |
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VR-2.2 | 2.2 Address Confidentiality Program (ACP) | 03/31/2021 |
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VR-9.1 | 9.1 Treatments: General | 03/31/2021 |
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VR-9.2 | 9.2 Treatments: Cochlear/BAHA | 03/31/2021 |
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VR-11.3 | 11.3 Job Readiness Training | 03/15/2021 |
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DES 1-01-34 | Limited English Proficiency | 02/05/2021 |
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DES 1-01-12-01 | Americans with Disabilities Act (ADA) Title 2 Procedures (English) | 02/05/2021 |
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DES 1-01-34-01 | Limited English Profiency Procedures | 02/05/2021 |
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DES 1-01-12 | Americans with Disabilities Act (ADA) Title 2 (English) | 02/05/2021 |
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DES 1-01-12-01S | Americans with Disabilities Act (ADA) Title 2 Procedures (Spanish) | 02/05/2021 |
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DES 1-01-12S | Americans with Disabilities Act (ADA) Title 2 (Spanish) | 02/05/2021 |
Download | Number | Name | Effective Date |
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GCI-1194A-S | You can be a Developmental Special Instructionist (Spanish) | 02/01/2024 |
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DDD-0465A-S | Arizona Long Term Care System (ALTCS) Member Handbook (Spanish) | 02/01/2024 |
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GCI-1195A-S | You can be a Service Coordinator (Spanish) | 02/01/2024 |
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RAP-1022A | Arizona Rental Assistance (ARA) | 02/01/2024 |
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GCI-1196A-S | You can be an Early Childhood Special Educator (Spanish) | 02/01/2024 |
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RAP-1022A-S | Arizona Rental Assistance (ARA) - (Spanish) | 02/01/2024 |
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HRP-1023A | The Emergency food Assistance Program (English/Spanish) | 02/01/2024 |
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AzEIP-TAB-01302024 | Family Out of State for Extended Period of Time | 01/29/2024 |
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FAA-0001C | Assistance Programs, What You Need To Know (English) | 01/01/2024 |
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DCS-1366A | AZCARES Customer Portal Access Guide (English) | 01/01/2024 |
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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