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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-1821A | Qualified Vendor Ready to Provide Services (English) | 08/01/2024 |
| RSA-1484A | Pre-Employment Transition Services Request Form Checklist (English/Spanish) | 08/01/2024 |
| DDD-2309A | Loss of Eligibility for Exception to PRC Review (English) | 08/01/2024 |
| DDD-1857A | Residential Services and Treatment Services Option Comparison (English) | 08/01/2024 |
| AAA-1218A | Arizona Family Caregiver Support Program (FCSP) Quarterly Summary Report (English) | 08/01/2024 |
| RSA-1365A-S | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA (Spanish) | 08/01/2024 |
| CCA-1328A | Potential Provider Overpayment Referral (English) | 08/01/2024 |
| RSA-1365A | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA (English) | 08/01/2024 |
| DDD-1857A-S | Residential Services and Treatment Services Option Comparison (Spanish) | 08/01/2024 |
| CCA-1227A | Maximum Reimbursement Rates for Child Care (English) | 08/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
| LCR-1054A-S | Initial Application Worksheet (Spanish) | 10/01/2022 |
| DDD-1747A-S | Assisted Living Facility (ALF) Residency Agreement (Spanish) | 10/01/2022 |
| LCR-1054A | Initial Application Worksheet (English) | 10/01/2022 |
| CCA-1021A | Unpaid Co-payment Worksheet (English) | 10/01/2022 |
| CCA-1021A-S | Unpaid Co-payment Worksheet (Spanish) | 10/01/2022 |
| ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
| DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
| ETA-081-S | Solicitud Inicial de asistencia para desempleados por desastre | 09/01/2022 |
| DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
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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