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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 |
|---|---|---|
| FAA-1410A-SLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Grande) | 07/01/2023 |
| FAA-1825A | Elderly Simplified Application Project (ESAP) Flyer | 07/01/2023 |
| PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
| CCA-1197A | Emergency Preparedness and Response Plan for Certified Family Child Care Providers | 07/01/2023 |
| LCR-1041A-S | Retiro Voluntario de la Solicitud de Licenciamiento o Cierre Voluntario de Licencia | 07/01/2023 |
| FAA-1410A-XLP | Grant Diversion Script and Applicant Agreement (Extra Large Print) | 07/01/2023 |
| FAA-1825A-S | Elderly Simplified Application Project (ESAP) Flyer (Spanish) | 07/01/2023 |
| FAA-1410A-SXLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Extra Grande) | 07/01/2023 |
| FAA-1513A-LP | Time Savings Tips (Large Print) | 07/01/2023 |
| FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-0024A | Employment and Wage Verification Statement (English) | 11/01/2021 |
| CCA-0041A | Fair Hearing Request | 11/01/2021 |
| CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
| CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
| CCA-0044A | Verification of Shelter Case Plan (English) | 11/01/2021 |
| CCA-1186A | Authority to Release Information | 11/01/2021 |
| DDD-1661A | DDD Tribal Health Program (THP) Equipment and Supplies Prior Authorization | 10/01/2021 |
| SNA-1066A | Voluntary Participation Agreement (English) | 10/01/2021 |
| DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
| CSE-1168A | Agreement to Accept Service by Mail - TANF Workshops | 09/01/2021 |
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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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