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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 |
|---|---|---|
| CCA-1216A | Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES | 02/01/2023 |
| DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
| 30th Month December 2022 | 30th Month Financial Report FY 2023 through December 2022 | 01/31/2023 |
| 2022 Homeless Lottery Funds Report | 2022 Homeless Lottery Funds Report | 01/30/2023 |
| Annual Report on Homelessness 2022 | Annual Report on Homelessness 2022 | 01/30/2023 |
| Statistical Bulletin December 2022 | Statistical Bulletin December 2022 | 01/25/2023 |
| AzEIP-TAB-01062023 | DDD Eligibility Application for Children with DCS Technical Assistance Bulletin (English) | 01/06/2023 |
| AzEIP-TAW-01062023 | AzEIP/DDD Eligibility Application Webinar | 01/06/2023 |
| RSA-1448A | Older Individuals who are Blind Program (1/2 page flyer) | 01/01/2023 |
| GCI-1149A | Arizona's Theory of Action / Teoria de Acción de Arizona | 01/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CSE-1171A | Affidavit of Financial Information (English/Spanish) | 04/01/2018 |
| ETA- 081A -S | Suplemento a la Solicitud para Solicitantes de DUA que Trabajan por Cuenta Propia | 04/01/2018 |
| LCR-1078A | OLCR Developmental Home Application Cover Page (English) | 04/01/2018 |
| ETA-081A | Supplement to Application for DUA Self-Employed Individuals | 04/01/2018 |
| LCR-1080A | Licensing Investigation Template | 04/01/2018 |
| LCR-1080B | Licensing Investigation Procedural Tool | 04/01/2018 |
| DDD-281 | Adult Developmental Home Agreement (English) | 04/01/2018 |
| DD-099-A | Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old | 03/01/2018 |
| DD-099-B | Pre-PAS Screening Tool for Members at Least 2 Years 10 Months Old, But Less than 6 Years Old | 03/01/2018 |
| UB-092-A | Confidential Financial Statement (English) | 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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