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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 |
|---|---|---|
| CCA-1170A | Withdrawal or Termination Request for Child Care Providers (English) | 05/01/2023 |
| FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
| GCI-1037A | Public Education Agency (PEA) Notification/Referral (English) | 05/01/2023 |
| FAA-0574A | Withdrawal or Stop Benefits/Appeal Request (English) | 05/01/2023 |
| FAA-1725A | Verification of Other Income (English) | 05/01/2023 |
| CCA-1170AS | Withdrawal or Termination Request for Child Care Providers (Spanish) | 05/01/2023 |
| FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
| FAA-1494A | Authorized Representative Removal (English) | 05/01/2023 |
| GCI-1037A-S | Public Education Agency (PEA) Notification/Referral (Spanish) | 05/01/2023 |
| AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1259A | DES Certified Home-Based Child-Care Provider Pre Application (English) | 06/01/2019 |
| RSA-1367A | Appeal Rights | 06/01/2019 |
| RSA-1367A-LP | Appeal Rights (Large Print) | 06/01/2019 |
| CCA-1259A-S | DES Certified Home-Based Child-Care Provider Pre Application (Spanish) | 06/01/2019 |
| RSA-1367A-S | Derechos de Apelación | 06/01/2019 |
| CCA-1262A | Home Inspection Checklist | 05/01/2019 |
| DDD-1403E | Job Coach Agreement Individual Supported Employment Services (English) | 05/01/2019 |
| DDD-1403F | Job Search Agreement - Individual Supported Employment Services (English) | 05/01/2019 |
| SNA-1046A | Monthly Work Activity Report | 05/01/2019 |
| SNA-1046A-S | Informe Mensual de Actividades Laborales (Monthly Work Activity Report) | 05/01/2019 |
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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