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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-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
| DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
| WIO-1108A | WIOA EO Monitoring Review Guide (English) | 02/01/2023 |
| DDD-1883A-S | ¿Qué es PASRR? Una guía para las familias | 02/01/2023 |
| DDD-1883A | What is PASRR? | 02/01/2023 |
| DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
| CSE-1225A | Caretakers Raising Children (English) | 02/01/2023 |
| CSE-1225A-S | Caretakers Raising Children (Spanish) | 02/01/2023 |
| LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers (English) | 02/01/2023 |
| CCA-1216A | Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES | 02/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-1406A | Career Preparation and Readiness - Quarterly Report | 06/01/2018 |
| DDD-1406C | Career Preparation and Readiness - Individual Training Agreement | 06/01/2018 |
| DDD-1406B | Career Preparation and Readiness - Six-Month Report | 06/01/2018 |
| DDD-1661B | Prior Authorization (English) | 06/01/2018 |
| DDD-1404C | Employment Support Aide - Quality Assurance Review | 05/01/2018 |
| DDD-1403B | Individual Supported Employment - Six Month Report | 05/01/2018 |
| UB-296 | Report of Illness or Physical Disability (English) | 05/01/2018 |
| UB-296-S | Report of Illness or Physical Disability (Spanish) | 05/01/2018 |
| PPP-1063A-S | HIPAA Privacy Complaints (Spanish) | 05/01/2018 |
| PPP-1063A | HIPAA Privacy Complaints (English) | 05/01/2018 |
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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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