You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
DDD-2223A | RFQVA DDD-2024 Attestation of Policy Development Tool (English) | 08/01/2023 |
J-119 | Data Sharing Request/Agreement (Single Division) (English) | 08/01/2023 |
RRP-1015A-Kirundi | Statement of Understanding (Kirundi) | 08/01/2023 |
APS-1032A | Authorization to Release Non-HIPAA Information Form (English) | 08/01/2023 |
RRP-1015A-Pashto | Statement of Understanding (Pashto) | 08/01/2023 |
RRP-1015A-Rohingya (Latin) | Statement of Understanding (Rohingya (Latin)) | 08/01/2023 |
ADDPC-2225A-S | Pathways to the Future: Career and Technical Education (Spanish) | 08/01/2023 |
AAA-1301A | Adult Protective Services (APS) Records Request Form (English) | 08/01/2023 |
APS-1032A-S | Authorization to Release Non-HIPAA Information Form (Spanish) | 08/01/2023 |
RRP-1015A-Russian | Statement of Understanding (Russian) | 08/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CSE-1178A | Child Support Modification Packet (English) | 05/01/2022 |
CSE-1178A-S | Child Support Modification Packet (Spanish) | 05/01/2022 |
FAA-1701A-XLP | Verification of Terminated Employment - Extra Large Print (English) | 05/01/2022 |
CCA-1211A | Request for Search of Background Checks (English) | 05/01/2022 |
UIA-1057A | Arizona Unemployment Insurance Basic Information (English) | 05/01/2022 |
CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
UIA-1057A-S | Arizona Unemployment Insurance Basic Information (Spanish) | 05/01/2022 |
UB-195-FF | Affidavit as to Forged Endorsement | 05/01/2022 |
UB-195-SFF | Affidavit as to Forged Endorsement (Spanish) | 05/01/2022 |
DDD-2039A | HCBS Member Needs Assessment | 05/01/2022 |
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