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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.
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| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
| UB-195-FF | Affidavit as to Forged Endorsement (English) | 05/01/2022 |
| DDD-2039A-S | HCBS Member Needs Assessment (Spanish) | 05/01/2022 |
| WIO-1162B | Arizona Job Connection (SCC) | 05/01/2022 |
| WIO-1171B | Strengths (SCC) | 05/01/2022 |
| UB-195-SFF | Affidavit as to Forged Endorsement (Spanish) | 05/01/2022 |
| DDD-2039A-LP | HCBS Member Needs Assessment (Large Print) | 05/01/2022 |
| WIO-1163A | Attitude | 05/01/2022 |
| WIO-1172A | Telephone Etiquette | 05/01/2022 |
| AAA-1289A-S | Family Caregiver Support Program (Spanish) | 05/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| HRP-1005A | TEFAP Monthly Inventory and Participation Report (MIPR) (English) | 03/01/2025 |
| GCI-1154A | AzEIP Cover Sheet - DDD Application for Eligibility Determination (English) | 03/01/2025 |
| DDD-2121A | Person-Centered Service Plan Supplement to the Individualized Family Service Plan (English) | 03/01/2025 |
| DDD-2351A-S | Authorization for Release of Information to DDD (Spanish) | 03/01/2025 |
| HRP-1015A-S | Annual Civil Rights Training (Spanish) | 03/01/2025 |
| HRP-1041A | Commodity Senior Food Program (CSFP) Waiting List Enrollment Notification (English) | 03/01/2025 |
| HRP-1007A | Commodity Transfer Report (English) | 03/01/2025 |
| CCA-1235A | Child Care Change Report (English) | 03/01/2025 |
| DDD-2121A-S | Person-Centered Service Plan Supplement to the Individualized Family Service Plan (Spanish) | 03/01/2025 |
| EAP-1012A-S | Limited Authorization to Release Records Transfer of LIHEAP Application to Community Navigation Provider (Spanish) | 03/01/2025 |
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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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