You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
DBS-1085B-S | AZ ABLE Card (Spanish) | 06/01/2023 |
FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
DDD-1479A | Notice of Extension (English) | 06/01/2023 |
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
DBS-1085B | AZ ABLE Card (English) | 06/01/2023 |
FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
FAA-0059A | Authority to Release Records | 06/01/2023 |
FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CCA-1287A | Emergency Evacuation Drill Record | 05/01/2021 |
CCA-1287A-S | Registro de Simulacros de Evacuación de Emergencia | 05/01/2021 |
DDD-1530A-LP | Managed Risk Agreement Services and/or Placement (Large Print) | 05/01/2021 |
DDD-1530A | Managed Risk Agreement Services and/or Placement (English) | 05/01/2021 |
DDD-1530A-S | Managed Risk Agreement Services and/or Placement (Spanish) | 05/01/2021 |
CCA-1211B | Attachment to Request for Search of Background Checks (CCA-1211A) Disqualifying Acts (English) | 04/01/2021 |
CCA-1211B-S | Attachment to Request for Search of Background Checks (CCA-1211A-S) Disqualifying Acts (Spanish) | 04/01/2021 |
CCA-1234A | Family Child Care Home Backup Provider Backup, Discipline, and Transportation Agreement | 04/01/2021 |
CCA-1234A-S | Proveedor Suplente de Cuidado de Niños en el Hogar Acuerdo de Suplente, Disciplina y Transporte | 04/01/2021 |
DDD-1436A | Behavioral Health Professional Consultation Summary (English) | 04/01/2021 |
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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