You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
CSE-1061A-S | Establecer la Paternidad | 05/01/2023 |
FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
DDD-1622A | Home Modification Requests Support Coordinator’s (SC) Checklist (English) | 05/01/2023 |
DDD-1678A | Home Modifications Service Assessment (English) | 05/01/2023 |
FAA-1546A | Sponsor Deeming Information (English) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CSE-1016A | Waiver of Paternity Affidavit (English/Spanish) | 06/01/2020 |
SNA-1000A | Rights and Responsibilities (English) | 06/01/2020 |
CSE-1314A | Child Supplemental Page (English / Spanish) | 06/01/2020 |
GCI-1088A | Child and Family Assessment Guide for Families (Accessible) | 06/01/2020 |
GCI-1118A | Arizona Early Intervention Program Non-DES Employee Training Planning and Tracking Form (English) | 06/01/2020 |
GCI-1119A | Standards of Practice Checklist (English) | 06/01/2020 |
GCI-1084A | Hearing Screening Tracking (English) | 06/01/2020 |
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
GCI-1084A-S | Hearing Screening Tracking (Spanish) | 06/01/2020 |
GCI-1082A | Consent for Screening - Prior Written Notice | 06/01/2020 |
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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