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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 |
|---|---|---|
| EAP-1002A-S | LIHEAP Application (Spanish) | 05/01/2024 |
| FAA-1869A | More Than a Job (English) | 05/01/2024 |
| CBC-1005A | DES Contracted Licensed Centers and Group Home Provider CBC Quick Setup (English) | 05/01/2024 |
| EAP-1002A | LIHEAP Application (English) | 05/01/2024 |
| GCI-1157C | Instructions for Completing the Record Review Report/Prior Written Notice (English) | 05/01/2024 |
| FAA-1869A-S | More Than a Job (Spanish) | 05/01/2024 |
| FAA-1814A-S | Customer Informational Packet (Spanish) | 05/01/2024 |
| OEO-1024A | Title II Grievance Form (English) | 05/01/2024 |
| DES-1139A-S | Services Provided by DES (Spanish) | 05/01/2024 |
| GCI-1025A | Serving Families Experiencing Homelessness - Technical Assistance Bulletin (English) | 05/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1353A-S | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance (Spanish) | 05/01/2023 |
| FAA-1565A | Nutrition Assistance Drug Testing Agreement (English) | 05/01/2023 |
| FAA-1366A | Eligibility Requirements | 05/01/2023 |
| FAA-1768A | Overpayment Compromise Request Form (English) | 05/01/2023 |
| FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (English) | 05/01/2023 |
| DDD-1678A | Home Modifications Service Assessment (English) | 05/01/2023 |
| FAA-1768A-S | Overpayment Compromise Request Form (Spanish) | 05/01/2023 |
| FAA-0574A-SXLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (Spanish) | 05/01/2023 |
| FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
| FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| TANF Report October 2014 | TANF State Plan Effective October 1, 2014 | 04/17/2015 |
| 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 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 |
| 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 |
| 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 |
| Number | Document Name | Effective Date |
|---|---|---|
| WIO-1153A | Need Help Finding A Job | 11/01/2021 |
| VR-1028A | Youth Seeking Subminimum Wage Employment Frequently Asked Questions (English) | 11/01/2021 |
| DDD-0195B-S | DDD Member Rights and Responsibilities (Spanish) | 11/01/2021 |
| VR-1028A-S | Youth Seeking Subminimum Wage Employment Frequently Asked Questions (Spanish) | 11/01/2021 |
| DES-1235A-S | Caregiver Resource Guide (Spanish) | 11/01/2021 |
| DES-1222A | Recognize, Report and Prevent Abuse, Neglect, and Exploitation (English) | 10/01/2021 |
| Guía de Referencia de WIC | Guía de Referencia de WIC de Arizona | 10/01/2021 |
| DES-1222A-S | Recognize, Report and Prevent Abuse, Neglect, and Exploitation (Spanish) | 10/01/2021 |
| WIC Outreach | Arizona WIC Outreach State Flyer | 10/01/2021 |
| DDD-2025A | DDD Tribal Health Program Fee-for-Service Claims Submission Guide (English) | 10/01/2021 |
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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