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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 |
|---|---|---|
| 30th Month January 2023 | 30th Month Financial Report FY 2023 through January 2023 | 03/06/2023 |
| CCA-0227A | Self-Employment Monthly Income Log | 03/01/2023 |
| DDD-2176A-S | Residency Agreement (Spanish) | 03/01/2023 |
| CCA-0227A-S | Registro Mensual de Ingresos por Cuenta Propia | 03/01/2023 |
| RSA-1305A-S | Pre-Employment Transition Services Request Form for Students with Disabilities (Spanish) | 03/01/2023 |
| WIO-1200A | The RED Reentry Program (English) | 03/01/2023 |
| LCR-1064A | Statement of Understanding-Application for HCBS Certification | 03/01/2023 |
| LCR-1064A-S | Declaración de Entendimiento Solicitud de Certificación para HCBS | 03/01/2023 |
| DDD-2153A | Likely Eligibility Tool (LET) | 03/01/2023 |
| SNA-1005A | Employment and Career Development Plan (ECDP) (English) | 03/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| 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-108 | Name and Address Change Request (English / Spanish) | 03/01/2018 |
| DDD-1402C | Group Supported Employment - Quality Assurance Review (English) | 03/01/2018 |
| DES-1076AS | Solicitud Para La Búsqueda En El Registro Central Con Objetivo De Verificar Antecedentes | 03/01/2018 |
| UB-130A | Work History (English) | 03/01/2018 |
| CSA-1070A | Domestic Violence Housing Intervention Performance Measures | 02/01/2018 |
| DDD-1590A | Monthly Invoice Cover Sheet (English) | 02/01/2018 |
| CSE-1284A | Parent’s agreement to be bound by genetic test results (English/Spanish) | 02/01/2018 |
| LCR-1040A-S | Health Self-Disclosure/Physician's Statement (Spanish) | 01/01/2018 |
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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