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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 |
|---|---|---|
| RRP-1018A | Client Employment & Income Attestation Form (English) | 11/01/2023 |
| RRP-1017A-S | Program Participants Application for Recertification (Spanish) | 11/01/2023 |
| RRP-1018A-S | Client Employment & Income Attestation Form (Spanish) | 11/01/2023 |
| Statistical Bulletin September 2023 | Statistical Bulletin September 2023 | 10/19/2023 |
| Tribal Consultation Report 2023 | Tribal Consultation Report 2023 | 10/05/2023 |
| 30th Month June 2023 | 30th Month Financial Report FY 2023 through June 2023 | 10/05/2023 |
| 30th Month August 2023 | 30th Month Financial Report FY 2024 through August 2023 | 10/03/2023 |
| DDD-1856A | Supported Living Planning Guide (English) | 10/01/2023 |
| AAA-1350A | Caregiver Registration Form | 10/01/2023 |
| FAA-1842A-S | Remplazo de Beneficios de Asistencia Nutricional (NA) - Alimentos Destruidos en un Desastre o Desgracia | 10/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-1747A-S | Assisted Living Facility (ALF) Residential Facility (Spanish) | 10/01/2022 |
| CCA-1021A | Unpaid Co-payment Worksheet (English) | 10/01/2022 |
| LCR-1054A | Initial Application Worksheet (English) | 10/01/2022 |
| ETA-83 | Weekly Request for Assistance | 09/01/2022 |
| CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
| ETA-083-S | Solicitud Semanal de Asistencia | 09/01/2022 |
| ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
| LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
| ETA-081-S | Solicitud Inicial de asistencia para desempleados por desastre | 09/01/2022 |
| GCI-1096A | Individual Family Teaming Report (English) | 09/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| UIB-1221B | How To Apply for UI Benefits (Bilingual) | 04/01/2016 |
| DDD-1627A | FACT SHEET - Advance Directives End of Life Care (English/Spanish) | 06/01/2015 |
| DDD-1627B | FACT SHEET - Blood Lead Poisoning | 06/01/2015 |
| DDD-1627C | FACT SHEET - Immunizations (Shots) (English/Spanish) | 06/01/2015 |
| DDD-1717A | Hot Topics - Heat Hazards | 05/01/2015 |
| DDD-1698A | Dental Care Ages Birth - 21 (English) | 04/01/2015 |
| DDD-1698A-S | Dental Care Ages Birth - 21 (Spanish) | 04/01/2015 |
| PAD-588-PD | Decisions About Your Health Care | 11/01/2011 |
| PAD-588-PDS | Decisiones sobre el cuidado de su salud | 11/01/2011 |
| DDD-1558A | Choking (Prevention is No Accident!) (English) | 11/01/2011 |
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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