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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 |
|---|---|---|
| POX-248 -Arabic | Americans with Disabilities Act Notice (Arabic) | 07/01/2020 |
| CSE-1185A | Affidavit of Credible Person Identifying Affiant (English/Spanish) | 07/01/2020 |
| GCI-1042A | Family Survey | 07/01/2020 |
| J-930-A | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) (English) | 07/01/2020 |
| POX-248 - Swahili | Americans with Disabilities Act Notice (Swahili) | 07/01/2020 |
| GCI-1059AS | Carta de No poder hacer el trámite | 08/01/2020 |
| Five Year Strategic Plan SFY 2020 - 2024 | Five Year Strategic Plan SFY 2020 - 2024 | 08/01/2020 |
| J-020-S | Discrimination Complaint- Clients, Applicants and Contractors (Spanish) | 08/01/2020 |
| J-020-SLP | Discrimination Complaint - Clients, Applicants and Contractors - Large Print (Spanish) | 08/01/2020 |
| CCA-1269A | Sworn Statement by the Registered Family Child Care (FCC) Provider | 08/01/2020 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
| FAA-1724A-S | Application Signature Pages (Spanish) | 07/01/2023 |
| FAA-1724A-SLP | Application Signature Pages- Large Print (Spanish) | 07/01/2023 |
| FAA-1724A-SXLP | Application Signature Pages- Extra Large Print (Spanish) | 07/01/2023 |
| FAA-1145A | Authorization to Share Information (English/Spanish) | 07/01/2023 |
| PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
| GCI-1164A | FFY 2021 Tier Definitions and Correction Requirements (English) | 07/07/2023 |
| UC-522-FF | Adjustment Report (English) | 08/01/2023 |
| RRP-1015A-Arabic | Statement of Understanding (Arabic) | 08/01/2023 |
| RRP-1015A-Burmese | Statement of Understanding (Burmese) | 08/01/2023 |
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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