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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 |
|---|---|---|
| DDD-1003A | PASRR II Assessment (English) | 07/01/2024 |
| UB-113 | Combined-Wage Claim Withdrawal (English) | 07/01/2024 |
| WIO-1027A | WIOA Title IB Applicant Statement (English) | 07/01/2024 |
| FAA-1871A-S | Get Reminders About Your Nutrition and Cash Assistance Application and Benefits (Spanish) | 07/01/2024 |
| J-930-A-LP | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) - Large Print (English) | 07/01/2024 |
| UB-113-S | Combined-Wage Claim Withdrawal (Spanish) | 07/01/2024 |
| WIO-1027A-S | WIOA Title IB Applicant Statement (Spanish) | 07/01/2024 |
| OEO-1024A-LP | Title II Grievance Form - Large Print (English) | 07/01/2024 |
| CCA-1331A | Child Care Resource Guide (English) | 07/01/2024 |
| GCI-1040A | Consent to Share Early Intervention Records and Information (English) | 07/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| LCR-1084A-S | Application for Renewal or Amended HCBS Certificate for Independent Providers (Spanish) | 02/01/2023 |
| DDD-1003A-S | Evaluación PASRR II | 01/01/2023 |
| CSE-0016A | Certified Public Expenditures Statement | 01/01/2023 |
| CCA-0100A | Provider's Child Care Operational Information | 01/01/2023 |
| CCA-0100A-S | Información de las Operaciones de un Proveedor de Cuidado de Niños | 01/01/2023 |
| OEO-1005A | Limited English Proficiency (LEP) Annual Monitoring Report Requirements Checklist | 01/01/2023 |
| UC-018 | Unemployment Tax Wage Report (English) | 01/01/2023 |
| AAA-1178A | Training Record | 12/01/2022 |
| DDD-0208A-S | Community Living Services (CLS) Application and Agreement (Spanish) | 12/01/2022 |
| DDD-0208A | Community Living Services (CLS) Application and Agreement (English) | 12/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| 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 |
| UIB-1220A | The Following Information is Required to File a New Application | 06/01/2016 |
| DDD-1745A-S | Vehicle Safety Buckle Up - Q&A's (Spanish) | 06/01/2016 |
| DDD-1745A | Vehicle Safety Buckle Up - Q&A's (English) | 05/01/2016 |
| UIB-1219B | How to File Your Weekly Claim (Bilingual) | 04/01/2016 |
| UIB-1221B | How To Apply for UI Benefits (Bilingual) | 04/01/2016 |
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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