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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 |
|---|---|---|
| RSA-1447A | Older Individuals who are Blind Program (full page flyer) | 01/01/2023 |
| RSA-1448A | Older Individuals who are Blind Program (1/2 page flyer) | 01/01/2023 |
| UC-018 | Unemployment Tax Wage Report (English) | 01/01/2023 |
| RSA-1298B | Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral | 01/01/2023 |
| HRP-1017A | Request to Terminate USDA Distribution Site | 01/01/2023 |
| RSA-1298B-S | Recomendación para el Programa de Verano para Jóvenes Ciegos/Visión Reducida Sordo/Dificultades Auditivas | 01/01/2023 |
| GCI-1149A | Arizona's Theory of Action / Teoria de Acción de Arizona | 01/01/2023 |
| OEO-1005A | Limited English Proficiency (LEP) Annual Monitoring Report Requirements Checklist | 01/01/2023 |
| RSA-1298B-LP | Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral (Large Print) | 01/01/2023 |
| RSA-1298B-SLP | Recomendación para el Programa de Verano para Jóvenes Ciegos/Visión Reducida Sordo/Dificultades Auditivas (Letra Grande) | 01/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| UB-108 | Name and Address Change Request (English / Spanish) | 03/01/2018 |
| DD-099-C | Pre-PAS Screening Tool Only for Members between 6 and 11 Years Old | 03/01/2018 |
| UB-092-A-S | Confidential Financial Statement (Spanish) | 03/01/2018 |
| UC-514 | Report of Changes Form (English) | 03/01/2018 |
| DDD-1651A | COBV Waiver Request (English) | 03/01/2018 |
| DD-099-D | Pre-PAS Screening Tool for Members At Least 12 Years Old | 03/01/2018 |
| UIA-1004A | Bulk Filer Application | 03/01/2018 |
| DDD-1402C | Group Supported Employment - Quality Assurance Review (English) | 03/01/2018 |
| UB-130A | Work History (English) | 03/01/2018 |
| UB-130A-S | Work History (Spanish) | 03/01/2018 |
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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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