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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 |
|---|---|---|
| HRP-1037A-S | Commodity Senior Food Program (CSFP) Recertification Notice (Spanish) | 02/01/2024 |
| DDD-2200A | Parents as Paid Providers (English/Spanish) | 02/01/2024 |
| UB-105 | Arizona Initial Claim for Unemployment Insurance (English) | 02/01/2024 |
| HRP-1013A | The Emergency Food Assistance Program Household Distribution Site Sign-In Sheet (English/Spanish) | 02/01/2024 |
| UB-105-S | Arizona Initial Claim for Unemployment Insurance (Spanish) | 02/01/2024 |
| LCR-1023A | Life-Safety Inspection Report (English) | 02/01/2024 |
| HRP-1037A | Commodity Senior Food Program (CSFP) Recertification Notice (English) | 02/01/2024 |
| GCI-1089A | AzEIP Incident Report (English) | 02/01/2024 |
| AAA-1059A | Conflict of Interest Statement (English) | 02/01/2024 |
| LCR-1023A-S | Life-Safety Inspection Report (Spanish) | 02/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
| FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
| DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
| CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
| FAA-1004A-XLP | Designation of EBT Alternate Card Holder - Extra Large Print (English) | 05/01/2023 |
| GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
| FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
| FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
| FAA-1366A | Eligibility Requirements | 05/01/2023 |
| FAA-1765A | Authority to Release Information | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| Statistical Bulletin February 2015 | Statistical Bulletin February 2015 | 03/01/2015 |
| 30th Month Jan-2015 | 30th Month Report January Fiscal Year 2015 | 02/27/2015 |
| 30th Month Dec-2015 | 30th Month Report December Fiscal Year 2015 | 02/27/2015 |
| 30th Month Nov-2015 | 30th Month Report November Fiscal Year 2015 | 02/27/2015 |
| 30th Month Oct-2015 | 30th Month Report October Fiscal Year 2015 | 02/27/2015 |
| 30th Month Sep-2015 | 30th Month Report September Fiscal Year 2015 | 02/27/2015 |
| Statistical Bulletin January 2015 | Statistical Bulletin January 2015 | 01/31/2015 |
| Statistical Bulletin December 2014 | Statistical Bulletin December 2014 | 01/15/2015 |
| Five Year Strategic Plan SFY 2016 - 2020 | Five Year Strategic Plan SFY 2016 - 2020 | 12/31/2014 |
| Annual Report 2013-2014 | 2013-2014 DES Annual Report | 12/23/2014 |
| Number | Document Name | Effective Date |
|---|---|---|
| ESA-1370A | One Stop Program SCSEP | 02/01/2022 |
| RRP-1012A | Refugee Medical Assistance Program (RMA) Provider Manual (English) | 02/01/2022 |
| FAA-1820A | Employees Receiving Family Assistance Benefits | 01/01/2022 |
| AAA-1382A | Help Prevent Adult Maltreatment in Arizona | 01/01/2022 |
| DDD-1694A | Residential Service Options for Children (English) | 01/01/2022 |
| DDD-1694A-S | Residential Service Options for Children (Spanish) | 01/01/2022 |
| DDD-2013A | Residential Service Options | 12/01/2021 |
| DDD-2013A-S | Opciones de servicios residenciales | 12/01/2021 |
| DES-1235A-S | Caregiver Resource Guide (Spanish) | 11/01/2021 |
| DES-1235A | Caregiver Resource Guide (English) | 11/01/2021 |
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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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