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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.
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| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
| CCA-0208A-S | Provider/Parent/Guardian's Agreement for Child Care Charges (Spanish) | 07/01/2023 |
| DDD-0308A | Individual Emergency Information - Residential | 07/01/2023 |
| LCR-1028A | Agency Roster of Employees (English) | 07/01/2023 |
| CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care (English) | 07/01/2023 |
| PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
| CCA-1198A | Acknowledgement of Receipt and Understanding | 07/01/2023 |
| CCA-1176A-S | Parent/Guardian Affidavit of Non-Compensated Child Care (Spanish) | 07/01/2023 |
| GCI-1163A | FFY 2021 Correction of NonCompliance Guidance (English) | 07/01/2023 |
| FAA-1724A-LP | Application Signature Pages - Large Print (English) | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-2107A | What Works and What Doesn't Work Worksheet | 06/01/2021 |
| DDD-2106A | Member's Circles of Support | 06/01/2021 |
| DDD-2107A-S | Hoja de Trabajo Sobre lo que Funciona y lo que no Funciona | 06/01/2021 |
| UIB-0098C | Eligibility Investigation Record - WC ALT. Base Period | 06/01/2021 |
| DDD-2106A-S | Círculos de Apoyo del Miembro | 06/01/2021 |
| UIB-0098K | Eligibility Investigation Record - Transient Lodging Seasonal Employment | 06/01/2021 |
| UIB-0126A | Request for Reconsideration/Appeal (English) | 06/01/2021 |
| UIB-0098M | Record of Employment | 06/01/2021 |
| UIB-0098R | Record of Employment | 06/01/2021 |
| UIB-0126A-S | Request for Reconsideration/Appeal (Spanish) | 06/01/2021 |
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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