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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 |
|---|---|---|
| FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
| LCR-1041A | Voluntary Withdrawal of Application for Licensure or Voluntary Closure of License | 07/01/2023 |
| FAA-0620D | Supplemental Pages for the Treatment Center Monthly Roster | 07/01/2023 |
| DDD-1783A | Habilitation Outcome Strategies (English) | 07/01/2023 |
| FAA-1513A | Time Saving Tips | 07/01/2023 |
| FAA-1513A-XLP | Time Savings Tips (Extra Large Print) | 07/01/2023 |
| PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
| FAA-1410A | Grant Diversion Script and Applicant Agreement | 07/01/2023 |
| LCR-1041A-S | Retiro Voluntario de la Solicitud de Licenciamiento o Cierre Voluntario de Licencia | 07/01/2023 |
| DDD-1783A-S | Habilitation Outcome Strategies (Spanish) | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| GCI-1141A | SSIP Evaluation Plan Summary (English) | 04/01/2022 |
| CCA-1199A | Emergency Preparedness & Response Planning (English) | 04/01/2022 |
| ESA-1303A | Job Order | 04/01/2022 |
| GCI-1021E | Individualized Family Service Plan (IFSP) Transition (English) | 04/01/2022 |
| CCA-1199A-S | Emergency Preparedness & Response Planning (Spanish) | 04/01/2022 |
| GCI-1021E-S | Individualized Family Service Plan (IFSP) Transition (Spanish) | 04/01/2022 |
| UB-194-FF | Employer Verification or Requalifying Earnings | 04/01/2022 |
| HRP-1003A | Commodity Disposal Report (CDR) | 02/01/2022 |
| HRP-1007A | Commodity Transfer Report | 02/01/2022 |
| HRP-1014A | USDA Civil Rights Complaint and Grievance | 02/01/2022 |
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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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