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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 |
|---|---|---|
| CCA-0225A | Verification of Unable\Unavailable Status (English) | 03/01/2024 |
| CCA-0227A | Self-Employment Monthly Income Log | 03/01/2023 |
| CCA-0227A-S | Registro Mensual de Ingresos por Cuenta Propia | 03/01/2023 |
| CCA-0228A | Self-Employment Monthly Budget Record (English) | 08/01/2024 |
| CCA-0228A-S | Self-Employment Monthly Budget Record (Spanish) | 08/01/2024 |
| CCA-0229A-FY24 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2024 (English/Spanish) | 10/01/2023 |
| CCA-0229A-FY25 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2025 (English/Spanish) | 08/01/2024 |
| CCA-0519A | Child Care Programs (English) | 01/01/2025 |
| CCA-0519A-S | Child Care Programs (Spanish) | 01/01/2025 |
| CCA-0626A | Non-Certified Relative Child Care Provider | 10/01/2020 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-2113A-S | DDD-EVV Member Contingency / IP Model Back-up Plan (Spanish) | 01/01/2022 |
| DDD-2114A | Application for Redetermination of Eligibility at Age 18 (English) | 09/01/2023 |
| DDD-2114A-S | Application for Redetermination of Eligibility at Age 18 (Spanish) | 09/01/2023 |
| DDD-2121A | Person-Centered Service Plan Supplement to the Individualized Family Service Plan (English) | 03/01/2025 |
| DDD-2121A-S | Person-Centered Service Plan Supplement to the Individualized Family Service Plan (Spanish) | 03/01/2025 |
| DDD-2149A | Authorization to Release Records | 08/01/2022 |
| DDD-2153A | Likely Eligibility Tool (LET) | 03/01/2023 |
| DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
| DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
| DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| Statistical Bulletin December 2019 | Statistical Bulletin December 2019 | 02/04/2020 |
| Statistical Bulletin December 2020 | Statistical Bulletin December 2020 | 04/11/2021 |
| Statistical Bulletin December 2021 | Statistical Bulletin December 2021 | 04/11/2022 |
| Statistical Bulletin December 2022 | Statistical Bulletin December 2022 | 01/25/2023 |
| Statistical Bulletin December 2023 | Statistical Bulletin December 2023 | 01/17/2024 |
| Statistical Bulletin December 2024 | Statistical Bulletin December 2024 | 01/09/2025 |
| Statistical Bulletin February 2013 | Statistical Bulletin February 2013 | 03/26/2013 |
| Statistical Bulletin February 2014 | Statistical Bulletin February 2014 | 03/28/2014 |
| Statistical Bulletin February 2015 | Statistical Bulletin February 2015 | 03/01/2015 |
| Statistical Bulletin February 2016 | Statistical Bulletin February 2016 | 03/15/2016 |
| Number | Document Name | Effective Date |
|---|---|---|
| GCI-1194A | You can be a Developmental Special Instructionist (English) | 05/01/2025 |
| GCI-1194A-S | You can be a Developmental Special Instructionist (Spanish) | 05/01/2025 |
| GCI-1195A | You can be a Service Coordinator (English) | 05/01/2025 |
| GCI-1195A-S | You can be a Service Coordinator (Spanish) | 05/01/2025 |
| GCI-1196A | You can be an Early Childhood Special Educator (English) | 05/01/2025 |
| GCI-1196A-S | You can be an Early Childhood Special Educator (Spanish) | 05/01/2025 |
| GCI-1201A-RA-PD | Supporting Families with Infants in the Neonatal Intensive Care Unit AzEIP Programmatic Meeting - January 2024 | 03/22/2024 |
| GCI-1202A | Record Review Report/Prior Written Notice Technical Assistance Bulletin (English) | 09/01/2024 |
| GCI-1204A | Serving Children in Early Intervention When Parents Share Custody (English) | 04/01/2024 |
| GCI-1205A | Transfer of Service Coordination to the Division of Developmental Disabilities (DDD) (English) | 04/01/2024 |
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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