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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 |
|---|---|---|
| FCT-1000A | Formal Request for Tribal Community | 01/01/2020 |
| FAA-1758A | FNS Certification Flyer (English/Spanish) | 01/01/2020 |
| WIO-1114A | Second Chance Centers | 01/01/2020 |
| UB-217C | Wage Protest (English) | 01/01/2020 |
| AAA-1341A | Local Medicare Help | 01/01/2020 |
| CSE-1313A-S | Sustento para Menores y Empleadores (Volante) | 01/01/2020 |
| CSE-1312A-S | Sustento para Menores y Empleadores (Postal) | 01/01/2020 |
| UB-217 | Wage / Employment Investigation Request (English) | 01/01/2020 |
| AAA-1341A-S | Ayuda local de Medicare | 01/01/2020 |
| Annual Report on Homelessness 2019 | Annual Report on Homelessness 2019 | 01/06/2020 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1170AS | Withdrawal or Termination Request for Child Care Providers (Spanish) | 05/01/2023 |
| FAA-0574A-SXLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (Spanish) | 05/01/2023 |
| FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
| FAA-1494A-XLP | Authorized Representative Removal - Extra Large Print (English) | 05/01/2023 |
| GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
| FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
| FAA-1440A-S | Cash Assistance Benefit Limit Extension Request (Spanish) | 06/01/2023 |
| DDD-1479A-S | Notice of Extension (Spanish) | 06/01/2023 |
| FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
| FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| ESA-1362SA-S | Virtual Appointment Scheduler (Spanish) | 03/01/2025 |
| DDD-0195B-S | DDD Member Rights and Responsibilities (Spanish) | 03/01/2025 |
| ESA-1362A | Virtual Appointment Scheduler (English) | 03/01/2025 |
| VR-1001A | Vocational Rehabilitation Roadmap (English) | 03/01/2025 |
| CSE-1246A | Child Support Services Program Overview (English) | 03/01/2025 |
| VR-1001A-S | Vocational Rehabilitation Roadmap (Spanish) | 03/01/2025 |
| CSE-1246A-S | Child Support Services Program Overview (Spanish) | 03/01/2025 |
| DDD-2283A-S | Employment That Is Right For Me (Spanish) | 03/01/2025 |
| CSE-1246B | Child Support Services Program Overview (Bilingual) | 03/01/2025 |
| RSA-1134A-S | What is Vocational Rehabilitation? (Spanish) | 03/01/2025 |
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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