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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 |
|---|---|---|
| FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
| FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
| FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
| FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
| FAA-1506A | Statement of No Income (English) | 05/01/2023 |
| CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
| FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
| FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
| CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
| FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CSE-1314A | Child Supplemental Page (English / Spanish) | 06/01/2020 |
| GCI-1118A | Arizona Early Intervention Program Non-DES Employee Training Planning and Tracking Form (English) | 06/01/2020 |
| GCI-1119A | Standards of Practice Checklist (English) | 06/01/2020 |
| GCI-1088A-S | Guía de Evaluación para los Niños y sus Familias | 06/01/2020 |
| CSE-1016A | Waiver of Paternity Affidavit (English/Spanish) | 06/01/2020 |
| GCI-1084A | Hearing Screening Tracking (English) | 06/01/2020 |
| GCI-1084A-S | Hearing Screening Tracking (Spanish) | 06/01/2020 |
| SNA-1000A | Rights and Responsibilities (English) | 06/01/2020 |
| GCI-1082A | Consent for Screening - Prior Written Notice | 06/01/2020 |
| LCR-1053A | Renewal Application Worksheet (English) | 06/01/2020 |
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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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