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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 |
|---|---|---|
| DCS-1339A-S | Solicitud de Revisión Administrativa (Incautación de Propiedad) | 06/01/2022 |
| LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
| CCA-1260A-S | Solicitud de Proveedor Suplente | 07/01/2019 |
| CCA-1261A-S | Solicitud de Proveedor Certificado de Cuidado de Niños Familiar | 07/01/2019 |
| UIA-1069A-S | Solicitud de Compensación por Desempleo de Asalariados Mixtos | 04/01/2021 |
| FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
| CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
| SSBG Plan 2020-2021 | Social Services Block Grant Plan 2020-2021 | 07/01/2020 |
| SSBG Plan 2019-2020 | Social Services Block Grant Plan 2019-2020 | 07/01/2019 |
| SSBG Plan 2018-2019 | Social Services Block Grant Plan 2018-2019 | 07/01/2018 |
| Number | Document Name | Effective Date |
|---|---|---|
| LCR-1054A | Initial Application Worksheet | 10/01/2022 |
| ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
| SNA-1046A-S | Informe Mensual de Actividades Laborales (Monthly Work Activity Report) | 05/01/2019 |
| LCR-1007A-S | Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso | 07/01/2019 |
| CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
| GCI-1043A-S | Informe De Evaluación Del Desarrollo | 04/01/2023 |
| CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
| UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
| UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
| LDU-1003A-S | Información Sobre una Disputa Laboral | 12/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| 30th Month April 2020 | 30th Month Financial Report FY 2020 through April 2020 | 10/01/2020 |
| 30th Month September 2019 | 30th Month Financial Report FY 2019 through September 2019 | 11/05/2019 |
| 30th Month October 2019 | 30th Month Financial Report FY 2019 through October 2019 | 12/24/2019 |
| 30th Month November 2019 | 30th Month Financial Report FY 2019 through November 2019 | 01/07/2020 |
| 30th Month May 2019 | 30th Month Financial Report FY 2019 through May 2019 | 07/26/2019 |
| 30th Month Mar 2019 | 30th Month Financial Report FY 2019 through Mar 2019 | 07/26/2019 |
| 30th Month June 2019 | 30th Month Financial Report FY 2019 through June 2019 | 09/27/2019 |
| 30th Month Jan 2019 | 30th Month Financial Report FY 2019 through Jan 2019 | 03/21/2019 |
| 30th Month Feb 2019 | 30th Month Financial Report FY 2019 through Feb 2019 | 05/13/2019 |
| 30th Month December 2019 | 30th Month Financial Report FY 2019 through December 2019 | 02/14/2020 |
| Number | Document Name | Effective Date |
|---|---|---|
| RSA-1213A-SLP | Beneficios por discapacidad en Arizona 101 (Letra Grande) | 04/01/2022 |
| RSA-1213A-S | Beneficios por discapacidad en Arizona 101 | 04/01/2022 |
| CCA-1324A-S | Become A Child Care Provider (Spanish) | 04/01/2024 |
| CCA-1323A-S | Become A Child Care Provider (Spanish) | 04/01/2024 |
| CCA-1324A | Become A Child Care Provider (English) | 04/01/2024 |
| CCA-1323A | Become A Child Care Provider (English) | 04/01/2024 |
| WIO-1164B | Background Questions (SCC) | 05/01/2022 |
| WIO-1164A | Background Questions | 05/01/2022 |
| CCA-1301A | Background Check Requirements for Child Care Staff (English/Spanish) | 06/01/2024 |
| GCI-1222A | AzEIP Programmatic Meeting - Child Outcomes Summary August 27, 2024 (English) | 09/01/2024 |
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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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