You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
GCI-1148A-S | Directory of Early Intervention Programs (Spanish) | 07/01/2023 |
|
LCR-1041A | Voluntary Withdrawal of Application for Licensure or Voluntary Closure of License | 07/01/2023 |
|
CCA-0208A-S | Provider/Parent/Guardian's Agreement for Child Care Charges (Spanish) | 07/01/2023 |
|
FAA-1513A-SLP | Consejos para Ahorrar Tiempo (Letra Grande) | 07/01/2023 |
|
LCR-1041A-S | Retiro Voluntario de la Solicitud de Licenciamiento o Cierre Voluntario de Licencia | 07/01/2023 |
|
FAA-1513A-SXLP | Consejos para Ahorrar Tiempo (Letra Extra Grande) | 07/01/2023 |
|
FAA-0620D | Supplemental Pages for the Treatment Center Monthly Roster | 07/01/2023 |
|
FAA-1415A | Illegal Drug Use Statement (English) | 07/01/2023 |
|
PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
|
FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
RSA-1313A-LP | Authorization for Release of RSA Records (Large Print) | 09/01/2022 |
|
ETA-083-S | Solicitud Semanal de Asistencia | 09/01/2022 |
|
RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
|
LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
|
ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
|
RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
|
ETA-081-S | Solicitud Inicial de asistencia para desempleados por desastre | 09/01/2022 |
|
RSA-1365A-LP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD And RSA (Large Print) | 09/01/2022 |
|
RSA-1365A-SLP | Autorización/Consentimiento para Divulgación y Uso de Información Confidencial entre DDD y RSA (Letra Grande) | 09/01/2022 |
|
HRP-1040A | Annual USDA Commodity Food Service Application and Agreement Between Regional Food Bank and Distribution Site | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UIT-1191A | Bulk UI Tax Rate Request Process and Information | 04/01/2019 |
|
UIT-1190A | UI Tax Online Reporting | 03/01/2019 |
|
FAA-1700A | SAW Contact Card | 02/01/2019 |
|
DDD-1945A | Support Coordination and You (English) | 01/01/2019 |
|
DDD-1945A-S | Support Coordination and You (Spanish) | 01/01/2019 |
|
HPY-330 | Article 52: Certification and Supervision of Family Child Care Home Providers (English/Spanish) – EFF | 12/01/2018 |
|
DDD-1732A | Incontinence Briefs for Adults 21 Years and older (English) | 11/01/2018 |
|
DDD-1732A-S | Incontinence Briefs for Adults 21 Years and older (Spanish) | 11/01/2018 |
|
DUA-1002A | Disaster Unemployment Assistance (Bilingual) | 08/01/2018 |
|
AAA-1167A | Legal Assistance for Older Arizonans | 08/01/2018 |
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