Renters and landlords impacted by the COVID-19 pandemic in twelve Arizona counties may now apply for rent and utility assistance through the Emergency Rental Assistance Program. Learn more.
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-2086A | Support Coordinator Screening and Discharge for Occupational, Physical, and Speech Therapy | 01/01/2021 |
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DDD-2088A | Evaluation Report Plan of Care/Treatment: Certification/Recertification | 01/01/2021 |
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FAA-0098A-S | Solicitud de Apelación | 01/01/2021 |
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FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 01/01/2021 |
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HRP-1052A-S | Aviso de Acción del Programa Suplementario de Comestibles Básicos (CSFP) | 01/01/2021 |
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FAA-0257A | Individual Development Account Agreement | 01/01/2021 |
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FAA-0098A-LP | Hearing Request (Large Print) | 01/01/2021 |
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FAA-0098A-SLP | Solicitud de Apelación (Letra Grande) | 01/01/2021 |
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FAA-0098A-XLP | Hearing Request (Extra Large Print) | 01/01/2021 |
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HRP-1037A-S | Aviso para Renovar la Certificación del Programa Suplementario de Comestiblés Básicos (CSFP) | 01/01/2021 |
Download | Number | Name | Effective Date |
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Statistical Bulletin May 2020 | Statistical Bulletin May 2020 | 10/05/2020 |
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Statistical Bulletin June 2020 | Statistical Bulletin June 2020 | 10/05/2020 |
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Statistical Bulletin July 2020 | Statistical Bulletin July 2020 | 10/05/2020 |
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DDD-0465A-S | Manual de Sistema de Cuidado a Largo Plazo de Arizona (ALTCS) | 10/01/2020 |
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30th Month April 2020 | 30th Month Financial Report FY 2020 through April 2020 | 10/01/2020 |
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30th Month May 2020 | 30th Month Financial Report FY 2020 through May 2020 | 10/01/2020 |
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30th Month June 2020 | 30th Month Financial Report FY 2020 through June 2020 | 10/01/2020 |
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DES Welfare-2020 | SFY 2020 Annual Welfare Reform Report | 09/01/2020 |
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FY2022-Budget | Fiscal Year 2022 DES Budget Request | 09/01/2020 |
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Five Year Strategic Plan SFY 2020 - 2024 | Five Year Strategic Plan SFY 2020 - 2024 | 08/01/2020 |
Download | Number | Name | Effective Date |
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FAA-1513A-LP | Time Savings Tips (Large Print) | 11/01/2020 |
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FAA-1788A | Proof of Eligibility Card | 11/01/2020 |
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FAA-1788A-S | Tarjeta de Prueba de Elegibilidad | 11/01/2020 |
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CSE-1051A | How to Apply for IV-D Child Support Services | 11/01/2020 |
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AAA-1035A | Arizona Long-Term Care Ombudsman Program | 11/01/2020 |
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FAA-1513A | Time Saving Tips | 11/01/2020 |
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CSE-1051A-S | Cómo Solicitar Servicios de Sustento para Menores Bajo el Título IV-D | 11/01/2020 |
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FAA-1513A-XLP | Time Savings Tips (Extra Large Print) | 11/01/2020 |
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AAA-1035A-S | Programa del Ombudsman de Cuidado a Largo Plazo de Arizona | 11/01/2020 |
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FAA-1513A-S | Consejos para Ahorrar Tiempo | 11/01/2020 |
Download | Number | Name |
Effective Date |
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RSA-1298A | Referral Form | 02/01/2021 |
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FAA-1492A | Authorized Representatives - Rights & Responsibilities | 02/01/2021 |
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RSA-1305A | Pre-Employment Transition Services Request Form for Students with Disabilities | 02/01/2021 |
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RSA-1298A-LP | Referral Form (Large Print) | 02/01/2021 |
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UB-010 | Eligibility Review Questionnaire | 02/01/2021 |
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UB-105 | Arizona Initial Claim for Unemployment Insurance | 02/01/2021 |
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UB-010-S | Cuestionario para Revisión de Admisibilidad | 02/01/2021 |
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UB-105-S | Reclamo Inicial para Seguro por Desempleo en Arizona | 02/01/2021 |
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AAA-1340A | Arizona Family Caregiver Reimbursement Program (English/Spanish) | 02/01/2021 |
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HRP-1005A | TEFAP Monthly Inventory and Participation Report (MIPR) | 02/01/2021 |
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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.