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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 |
|---|---|---|
| LCR-1041A | Voluntary Withdrawal of Application for Licensure or Voluntary Closure of License | 07/01/2023 |
| EAA-1008A | E75 Diversity Builder Recognition Award Event flyer | 07/01/2023 |
| FAA-1714A-S | Mid Approval Contact - Lobby (Spanish) | 07/01/2023 |
| FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
| FAA-1724A-XLP | Application Signature Pages - Extra Large Print (English) | 07/01/2023 |
| LCR-1041A-S | Retiro Voluntario de la Solicitud de Licenciamiento o Cierre Voluntario de Licencia | 07/01/2023 |
| FAA-1818A | Nutrition Assistance (NA) Medical Expense Deduction | 07/01/2023 |
| FAA-1415A | Illegal Drug Use Statement (English) | 07/01/2023 |
| CCA-1198A | Acknowledgement of Receipt and Understanding | 07/01/2023 |
| FAA-1724A-S | Application Signature Pages (Spanish) | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| HRP-1003A | Commodity Disposal Report (CDR) | 02/01/2022 |
| UIA-1043A | Registration for State Information Data Exchange System (SIDES) E-Response (English) | 01/01/2022 |
| DDD-2113A | DDD-EVV Member Contingency / IP Model Back-up Plan (English) | 01/01/2022 |
| DDD-2113A-S | DDD-EVV Member Contingency / IP Model Back-up Plan (Spanish) | 01/01/2022 |
| CCA-0041A | Fair Hearing Request | 11/01/2021 |
| CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
| CCA-0044A | Verification of Shelter Case Plan (English) | 11/01/2021 |
| CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
| CCA-1186A | Authority to Release Information | 11/01/2021 |
| GCI-1098A | AzEIP Public Awareness Materials Order Form | 11/01/2021 |
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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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