You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0053A-LP | Verification of New/Current Employment - Large Print (English) | 10/01/2024 |
FAA-0412A-SLP | Change Report - Large Print (Spanish) | 10/01/2024 |
FAA-1874A | Change Reporting Education (English) | 10/01/2024 |
GCI-1021G-J | Individualized Family Service Plan (IFSP) Addendum Packet (English) | 10/01/2024 |
FAA-0412A-S | Change Report (Spanish) | 10/01/2024 |
FAA-1573A | Your Rights and Responsibilities (English) | 10/01/2024 |
GCI-1021G-J-S | Individualized Family Service Plan (IFSP) Addendum Packet (Spanish) | 10/01/2024 |
FAA-0412A-XLP | Change Report - Extra Large Print (English) | 10/01/2024 |
FAA-1573A-S | Your Rights and Responsibilities (Spanish) | 10/01/2024 |
FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 10/01/2024 |
Number | Document Name | Effective Date |
---|---|---|
CCA-0227A | Self-Employment Monthly Income Log | 03/01/2023 |
CCA-1311A | Arizona Education Workforce Scholarship Program Application (English) | 03/01/2023 |
SNA-1005A | Employment and Career Development Plan (ECDP) (English) | 03/01/2023 |
LCR-1084A-S | Application for Renewal or Amended HCBS Certificate for Independent Providers (Spanish) | 02/01/2023 |
FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 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 |
Number | Document Name | Effective Date |
---|---|---|
HRP-1024A | SNAP Information Brochure (English) | 11/01/2017 |
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-1836A | Safety Information Fact Sheet #6 | 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 |
DDD-1795APAMPD | Dental Care Adult (Ages 21+) (English) | 12/01/2016 |
DDD-1795APAMS | Dental Care Adult (Ages 21+) (Spanish) | 12/01/2016 |
DDD-1751A | Responsible Driving Information Fact Sheet#6 (English) | 07/01/2016 |
DDD-1745A-S | Vehicle Safety Buckle Up - Q&A's (Spanish) | 06/01/2016 |
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