You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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DDD-1164A-S | Attendant Care Progress Notes (Spanish) | 08/01/2023 |
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VR-1048A | About AZ Hires Vets! | 08/01/2023 |
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AAA-1301A | Adult Protective Services (APS) Records Request Form (English) | 08/01/2023 |
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DDD-2234A | DDD Eligibility for Children Ages 3 to 6 Years (English/Spanish) | 08/01/2023 |
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APS-1032A-S | Autorización para Divulgar Información sin cobertura de HIPAA | 08/01/2023 |
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FAA-1125A | Tribal/FAA - Turn Around Document (TAD) | 08/01/2023 |
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FAA-1788A-S | Tarjeta de Prueba de Elegibilidad | 08/01/2023 |
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ADDPC-2224A | Pathways to the Future: Transition Plans | 08/01/2023 |
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PUR-1036A | Participation in Boycott of Israel | 08/01/2023 |
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DDD-1426A | Request for Incontinence Briefs for Members Ages 3 and Above (English) | 08/01/2023 |
Download | Number | Name | Effective Date |
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FAA-0053A-LP | Verification of New/Current Employment - Large Print (English) | 05/01/2023 |
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FAA-1249A | Verification of Disability | 05/01/2023 |
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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
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FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
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FAA-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
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FAA-0412A-SLP | Change Report - Large Print (Spanish) | 05/01/2023 |
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FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
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FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
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CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
Download | Number | Name | Effective Date |
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30th Month Nov-2016 | 30th Month Report November Fiscal Year 2017 | 02/27/2017 |
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30th Month Dec-2016 | 30th Month Report December Fiscal Year 2017 | 02/27/2017 |
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Statistical Bulletin January 2017 | Statistical Bulletin January 2017 | 02/01/2017 |
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Annual Report 2015-2016 | 2015-2016 DES Annual Report | 01/03/2017 |
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Statistical Bulletin December 2016 | Statistical Bulletin December 2016 | 01/01/2017 |
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Statistical Bulletin November 2016 | Statistical Bulletin November 2016 | 12/29/2016 |
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30th Month Oct-2016 | 30th Month Report October Fiscal Year 2017 | 12/21/2016 |
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6AAC12 | Five-Year Review Report – Cash Assistance Program | 11/30/2016 |
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30th Month Sep-2016 | 30th Month Report September Fiscal Year 2017 | 11/30/2016 |
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Statistical Bulletin October 2016 | Statistical Bulletin October 2016 | 11/22/2016 |
Download | Number | Name | Effective Date |
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WIO-1167A | Interview Questions | 05/01/2022 |
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WIO-1167B | Interview Questions (SCC) | 05/01/2022 |
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AAA-1313A | Adult Protective Services at a Glance | 05/01/2022 |
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WIO-1168A | Keeping Your Job | 05/01/2022 |
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AD-475-B | And Justice for all | 05/01/2022 |
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AAA-1313A-S | APS at a Glance (Spanish) | 05/01/2022 |
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WIO-1168B | Keeping Your Job (SCC) | 05/01/2022 |
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APS-1000A-S | Servicios de Protección al Adulto | 05/01/2022 |
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CCA-1199A-S | Guía de Preparación en Caso de Emergencias y Planificación de Respuesta | 04/01/2022 |
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RSA-1213A | Disability Benefits 101 | 04/01/2022 |
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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