You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
UB-099-Y | Certification of Understanding (English / Spanish) | 07/01/2019 |
LCR-1007A | Home Visit Report Supplement to Notice of Inspection and Due Process Rights | 07/01/2019 |
CCA-1260A-S | Solicitud de Proveedor Suplente | 07/01/2019 |
SSBG Plan 2019-2020 | Social Services Block Grant Plan 2019-2020 | 07/01/2019 |
LCR-1007A-S | Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso | 07/01/2019 |
CCA-1261A-S | Solicitud de Proveedor Certificado de Cuidado de Niños Familiar | 07/01/2019 |
GCI-1049A | No Contact Letter | 07/01/2019 |
RSA-1312A | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
RSA-1312A-S | Autorización Para Divulgación De Información De Salud a RSA | 07/01/2019 |
CCA-1260A | Back Up Provider Application | 07/01/2019 |
Number | Document Name | Effective Date |
---|---|---|
RSA-1298B-LP | Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral (Large Print) | 01/01/2023 |
RSA-1298B-SLP | Recomendación para el Programa de Verano para Jóvenes Ciegos/Visión Reducida Sordo/Dificultades Auditivas (Letra Grande) | 01/01/2023 |
DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
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 |
DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
WIO-1108A | WIOA EO Monitoring Review Guide (English) | 02/01/2023 |
DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers (English) | 02/01/2023 |
LCR-1084A-S | Application for Renewal or Amended HCBS Certificate for Independent Providers (Spanish) | 02/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
VR-1009A | Vocational Rehabilitation Client Handbook (English) | 08/01/2024 |
OEO-1009A | Title VI/ADA Non Discrimination Notice to the Public (English / Spanish) | 08/01/2024 |
VR-1009A-LP | Vocational Rehabilitation Client Handbook - Large Print (English) | 08/01/2024 |
OEO-1029A | 2024 Language Access Plan (English) | 08/01/2024 |
DDD-2307A | Quick Reference Guide: Voter Registration (English/Spanish) | 09/01/2024 |
DDD-2312A | Quick Reference Guide: AHCCCS Freedom to Work (English) | 09/01/2024 |
GCI-1202A | Record Review Report/Prior Written Notice Technical Assistance Bulletin (English) | 09/01/2024 |
DDD-2312A-S | Quick Reference Guide: AHCCCS Freedom to Work (Spanish) | 09/01/2024 |
DDD-2313A | Quick Reference Guide: DDD Affordable Housing (English) | 09/01/2024 |
DDD-2313A-S | Quick Reference Guide: DDD Affordable Housing (Spanish) | 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