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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 |
|---|---|---|
| RSA-1365A-LP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA - Large Print (English) | 08/01/2024 |
| CCA-1227A | Maximum Reimbursement Rates for Child Care (English) | 08/01/2024 |
| OIG-1009A | Request to Voluntarily Withdraw from an Appeal - DBME (English) | 08/01/2024 |
| CCA-1196A | Potential Overpayment Referral (English) | 08/01/2024 |
| RSA-1365A-SLP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA - Large Print (Spanish) | 08/01/2024 |
| CCA-1227A-S | Maximum Reimbursement Rates for Child Care (Spanish) | 08/01/2024 |
| DDD-1857A-S | Residential Services and Treatment Services Option Comparison (Spanish) | 08/01/2024 |
| CBC-1009A | CBC Recheck Process (English) | 08/01/2024 |
| OEO-1009A | Title VI/ADA Non Discrimination Notice to the Public (English / Spanish) | 08/01/2024 |
| GCI-1218A | Eligibility AzEIP Programmatic Meeting-June 2024 | 08/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| LCR-1064A-S | Declaración de Entendimiento Solicitud de Certificación para HCBS | 03/01/2023 |
| CCA-1311A | Arizona Education Workforce Scholarship Program Application (English) | 03/01/2023 |
| DDD-2153A | Likely Eligibility Tool (LET) | 03/01/2023 |
| CCA-1311A-S | Arizona Education Workforce Scholarship Program Application (Spanish) | 03/01/2023 |
| DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
| DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
| 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 |
| FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-1896A-S | Servicios de Empleo de la DDD: ¿Desea Trabajar? | 03/01/2018 |
| DDD-1896A | Employment Services: Do You Want To Work? | 03/01/2018 |
| PAD-465-C | Definitions for AHCCCS Members | 01/01/2018 |
| HRP-1024A | SNAP Information Brochure (English) | 11/01/2017 |
| HRP-1044A | CSFP Information Brochure | 11/01/2017 |
| DDD-1836A | Safety Information Fact Sheet #6 | 06/01/2017 |
| GCI-1102A | AzEIP Child and Family Outcomes- Accessible | 06/01/2017 |
| GCI-1102A-S | Evaluaciones de los Resultados de los Niños y las Familias - Accessible | 06/01/2017 |
| DDD-1807ACRD | Volunteer with a Human Rights Committee (Card) | 03/01/2017 |
| DDD-1807ACRD-S | Volunteer with a Human Rights Committee (Card Spanish) | 03/01/2017 |
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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