You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1565A | Nutrition Assistance Drug Testing Agreement | 05/01/2023 |
DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
FAA-1494A-XLP | Authorized Representative Removal (Extra Large Print) | 05/01/2023 |
FAA-1725A-S | Verificación de Otros Ingresos | 05/01/2023 |
DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
LCR-1030A | Request to Withdraw HCBS Certification | 10/01/2020 |
LCR-1025A-S | Application for Initial HCBS Certification (Spanish) | 09/01/2020 |
CCA-1272A | AZ STEPS Parent Acknowledgement | 09/01/2020 |
WIO-1031A | Training Program Credential Checklist (English) | 09/01/2020 |
CCA-1272A-S | Reconocimiento de los padres de AZ STEPS | 09/01/2020 |
GCI-1083AS | Consentimiento para la Evaluación del Niño | 08/01/2020 |
J-020-LP | Discrimination Complaint - Clients, Applicants and Contractors - Large Print (English) | 08/01/2020 |
CCA-1269A | Sworn Statement by the Registered Family Child Care (FCC) Provider | 08/01/2020 |
GCI-1051A | Follow-Up Letter (English) | 08/01/2020 |
J-020 | Discrimination Complaint- Clients, Applicants and Contractors (English) | 08/01/2020 |
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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