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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 |
|---|---|---|
| EAP-1006A-S | LIHEAP Portable Fuel Certification (Spanish) | 11/01/2023 |
| DDD-2076A | DDD Health Plan Care Management Referral (English) | 11/01/2023 |
| DDD-2256A | Support Coordination (English/Spanish) | 11/01/2023 |
| DDD-2249A-S | Age 6 Redetermination Packet (Spanish) | 11/01/2023 |
| DDD-2250A-S | Age 18 Redetermination Packet (Spanish) | 11/01/2023 |
| UB-106-T-I | Completion Instructions for Approved Training Continued Claim, UB-106-T (English) | 11/01/2023 |
| RRP-1017A-S | Program Participants Application for Recertification (Spanish) | 11/01/2023 |
| UB-106-T-I-S | Completion Instructions for Approved Training Continued Claim, UB-106-T (Spanish) | 11/01/2023 |
| DDD-2252A | What is Employment First? (English/Spanish) | 11/01/2023 |
| UIB-1266A-S | Tips for Completing Your Work Search Requirements (Spanish) | 11/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-0097A | Pre-Service Provider Orientation (English) | 11/01/2022 |
| DDD-1972A | Application for Eligibility Determination Packet (English) | 11/01/2022 |
| CC-214-A | Relative Child Care Provider Rate Agreement | 11/01/2022 |
| DDD-0097A-S | Pre-Service Provider Orientation (Spanish) | 11/01/2022 |
| CC-214-A-S | Acuerdo de Tarifa para Parientes Proveedores de Cuidado de Niños | 11/01/2022 |
| DDD-1972A-S | Application for Eligibility Determination Packet (Spanish) | 11/01/2022 |
| CC-214 | Child Care Provider Rate Agreement | 11/01/2022 |
| CC-214-S | Acuerdo de Tarifas del Proveedor de Cuidado de Niños | 11/01/2022 |
| CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
| CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1700A | SAW Contact Card | 02/01/2019 |
| DDD-1945A | Support Coordination and You (English) | 01/01/2019 |
| DDD-1945A-S | Support Coordination and You (Spanish) | 01/01/2019 |
| HPY-330 | Article 52: Certification and Supervision of Family Child Care Home Providers (English/Spanish) – EFF | 12/01/2018 |
| DDD-1732A-S | Incontinence Briefs for Adults 21 Years and older (Spanish) | 11/01/2018 |
| DDD-1732A | Incontinence Briefs for Adults 21 Years and older (English) | 11/01/2018 |
| DUA-1002A | Disaster Unemployment Assistance (Bilingual) | 08/01/2018 |
| GCI-1007A-S | Arizona Early Intervention Program (AzEIP) (Spanish) | 07/01/2018 |
| GCI-1007A | Arizona Early Intervention Program (AzEIP) (English) | 07/01/2018 |
| PAU-592 | Data Disclosure Information and Fee Schedule | 04/01/2018 |
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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