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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 |
|---|---|---|
| DDD-2176A-S | Residency Agreement (Spanish) | 03/01/2023 |
| LCR-1064A-S | Declaración de Entendimiento Solicitud de Certificación para HCBS | 03/01/2023 |
| SNA-1005A-S | Employment and Career Development Plan (ECDP) (Spanish) | 03/01/2023 |
| CCA-0227A | Self-Employment Monthly Income Log | 03/01/2023 |
| CCA-0227A-S | Registro Mensual de Ingresos por Cuenta Propia | 03/01/2023 |
| WIO-1200A | The RED Reentry Program | 03/01/2023 |
| CCA-1312A-S | Acuerdo del Proveedor/Padre/Madre/Tutor Acerca de los Costos de Cuidado de Niños No Cubiertos por el DES | 03/01/2023 |
| DDD-1747A | Assisted Living Facility (ALF) Residential Facility (English) | 03/01/2023 |
| WIO-1200A-S | El Programa de Reintegración RED | 03/01/2023 |
| RSA-1305A | Pre-Employment Transition Services Request Form for Students with Disabilities (English) | 03/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DES-1077A-LP | Notice of Privacy Practices - Large Print (English) | 09/01/2018 |
| DES-1077A | Notice of Privacy Practices (English) | 09/01/2018 |
| CCA-1161A | Self-Sufficiency Statement | 09/01/2018 |
| DES-1077A-S-LP | Notice of Privacy Practices - Large Print (Spanish) | 09/01/2018 |
| CCA-1161A-S | Declaración de Autosuficiencia | 09/01/2018 |
| DDD-1749A | Support Coordinator Guide to AAC Evaluation Referrals (English) | 09/01/2018 |
| DES-1059A | Authorization to Release Information (English/Spanish) | 09/01/2018 |
| ESA-1220A | Work Readiness Self-Assessment | 09/01/2018 |
| ESA-1220A-S | Autoevaluación Para Determinar La Preparación Laboral | 09/01/2018 |
| UIB-0098D | Eligibility Investigation Record - Administrative Penalty | 09/01/2018 |
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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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