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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-1175A-S | Landlord Permission to Provide Family Child Care Service (Spanish) | 04/01/2023 |
| CCA-1313A-S | Ayuda para el Cuidado de Niños a Estudiantes de Tiempo Completo | 04/01/2023 |
| UIB-1263A | Request for Overpayment Waiver (English) | 04/01/2023 |
| DDD-2177A | Getting the Most from Your Pharmacy Benefits (English/Spanish) | 04/01/2023 |
| UIB-1263A-S | Request for Overpayment Waiver (Spanish) | 04/01/2023 |
| 30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
| VR-3.2 | 3.2 Eligibility and Order of Selection | 03/31/2023 |
| AzEIP-TAB-03282023 | Address Confidentiality Program (ACP) Technical Assistance Bulletin (English) | 03/28/2023 |
| SCSEP State Plan 2020-2023 | Senior Community Service Employment Program (SCSEP) State Plan 2020-2023 | 03/15/2023 |
| Statistical Bulletin February 2023 | Statistical Bulletin February 2023 | 03/10/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| ETA-081A | Supplement to Application for DUA Self-Employed Individuals | 04/01/2018 |
| LCR-1078A | OLCR Developmental Home Application Cover Page (English) | 04/01/2018 |
| DD-099-A | Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old | 03/01/2018 |
| UB-108 | Name and Address Change Request (English / Spanish) | 03/01/2018 |
| DDD-1651A | COBV Waiver Request (English) | 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 |
| DD-099-C | Pre-PAS Screening Tool Only for Members between 6 and 11 Years Old | 03/01/2018 |
| DD-099-D | Pre-PAS Screening Tool for Members At Least 12 Years Old | 03/01/2018 |
| UB-130A | Work History (English) | 03/01/2018 |
| DDD-1402C | Group Supported Employment - Quality Assurance Review (English) | 03/01/2018 |
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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