You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
APS-1032A | Authorization to Release Non-HIPAA Information Form | 08/01/2023 |
|
J-119 | Data Sharing Request/Agreement (Single Division) (English) | 08/01/2023 |
|
CCA-1302A-S | Verificación de Antecedentes para Proveedores de Cuidado Infantil - Preguntas Frecuentes | 08/01/2023 |
|
AAA-1240A | Disease Prevention and Health Promotion Services Quarterly Summary Report | 08/01/2023 |
|
DDD-1426A | Request for Incontinence Briefs for Members Ages 3 and Above (English) | 08/01/2023 |
|
DDD-1164A-S | Attendant Care Progress Notes (Spanish) | 08/01/2023 |
|
DDD-1164A | Attendant Care Progress Notes (English) | 08/01/2023 |
|
VR-1048A | About AZ Hires Vets! | 08/01/2023 |
|
DDD-2234A | DDD Eligibility for Children Ages 3 to 6 Years (English/Spanish) | 08/01/2023 |
|
ADDPC-2230A | Pathways to the Future: ABLE | 08/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
|
FAA-1004A-XLP | Designation of EBT Alternate Card Holder - Extra Large Print (English) | 05/01/2023 |
|
FAA-0255A-S | Afirmación De Hogares Por Separado | 05/01/2023 |
|
FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
|
FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 05/01/2023 |
|
FAA-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
|
FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
|
FAA-0255A | Separate Household Status Statement | 05/01/2023 |
|
FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
|
FAA-1765A | Authority to Release Information | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
Tribal Consultation Report 2016 | Tribal Consultation Report 2016 | 09/08/2016 |
|
FY2018-Budget | Fiscal Year 2018 DES Budget Request | 09/01/2016 |
|
Statistical Bulletin July 2016 | Statistical Bulletin July 2016 | 08/16/2016 |
|
30th Month May-2016 | 30th Month Report May Fiscal Year 2016 | 08/01/2016 |
|
Statistical Bulletin June 2016 | Statistical Bulletin June 2016 | 07/14/2016 |
|
SSBG Plan 2016-2017 | Social Services Block Grant Plan 2016-2017 | 07/01/2016 |
|
DDD-1748B | Strategic Plan 2016-2020 Overview | 07/01/2016 |
|
Statistical Bulletin May 2016 | Statistical Bulletin May 2016 | 06/10/2016 |
|
30th Month Apr-2016 | 30th Month Report April Fiscal Year 2016 | 06/09/2016 |
|
30th Month Mar-2016 | 30th Month Report March Fiscal Year 2016 | 06/07/2016 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
RRP-1012A | Refugee Medical Assistance Program (RMA) Provider Manual (English) | 02/01/2022 |
|
FAA-1045A-S | How to Use Your Arizona EBT Card (Spanish) | 02/01/2022 |
|
FAA-1045A-SLP | How to Use Your Arizona EBT Card - Large Print (Spanish) | 02/01/2022 |
|
FAA-1045A-SXLP | How to Use Your Arizona EBT Card - Extra Large Print (Spanish) | 02/01/2022 |
|
GCI-1120A | Transition Guide for Families: What You Need to Know Before Your Child's Third Birthday | 02/01/2022 |
|
GCI-1120A-S | Guía de Transición para Familias: Lo que necesita saber antes del tercer cumpleaños de su hijo(a) | 02/01/2022 |
|
DDD-1694A-S | Residential Service Options for Children (Spanish) | 01/01/2022 |
|
DDD-1694A | Residential Service Options for Children (English) | 01/01/2022 |
|
FAA-1820A | Employees Receiving Family Assistance Benefits | 01/01/2022 |
|
AAA-1382A | Help Prevent Adult Maltreatment in Arizona | 01/01/2022 |
Stay up-to-date with news and updates delivered straight to your inbox
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