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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 |
|---|---|---|
| DDD-2256A | Support Coordination (English/Spanish) | 11/01/2023 |
| UB-106-T-I | Completion Instructions for Approved Training Continued Claim, UB-106-T (English) | 11/01/2023 |
| Statistical Bulletin September 2023 | Statistical Bulletin September 2023 | 10/19/2023 |
| 30th Month June 2023 | 30th Month Financial Report FY 2023 through June 2023 | 10/05/2023 |
| Tribal Consultation Report 2023 | Tribal Consultation Report 2023 | 10/05/2023 |
| 30th Month August 2023 | 30th Month Financial Report FY 2024 through August 2023 | 10/03/2023 |
| UB-106A-S | Weekly Claim for Unemployment Insurance (UI) Benefits (Spanish) | 10/01/2023 |
| RRP-1015A | Statement of Understanding | 10/01/2023 |
| CCA-0229A-FY24 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2024 (English/Spanish) | 10/01/2023 |
| AAA-1418A | Family Caregiver Support Program Reporting Matrix | 10/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-1991A-S | DDD Eligibility Checklist (Spanish) | 10/01/2022 |
| LCR-1005A-S | Notice of Inspection Rights (Spanish) | 10/01/2022 |
| DDD-1991A | DDD Eligibility Checklist (English) | 10/01/2022 |
| LCR-1054A-S | Initial Application Worksheet (Spanish) | 10/01/2022 |
| GCI-1147A | Records Request Response (AzEIP) | 10/01/2022 |
| DDD-1747A-S | Assisted Living Facility (ALF) Residential Facility (Spanish) | 10/01/2022 |
| CCA-1021A | Unpaid Co-payment Worksheet (English) | 10/01/2022 |
| CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
| HRP-1040A | Annual USDA Commodity Food Service Application and Agreement Between Regional Food Bank and Distribution Site | 09/01/2022 |
| LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-1795APAMPD | Dental Care Adult (Ages 21+) (English) | 12/01/2016 |
| DDD-1795APAMS | Dental Care Adult (Ages 21+) (Spanish) | 12/01/2016 |
| DDD-1751A | Responsible Driving Information Fact Sheet#6 (English) | 07/01/2016 |
| UIB-1220A | The Following Information is Required to File a New Application | 06/01/2016 |
| DDD-1745A-S | Vehicle Safety Buckle Up - Q&A's (Spanish) | 06/01/2016 |
| DDD-1745A | Vehicle Safety Buckle Up - Q&A's (English) | 05/01/2016 |
| UIB-1219B | How to File Your Weekly Claim (Bilingual) | 04/01/2016 |
| UIB-1221B | How To Apply for UI Benefits (Bilingual) | 04/01/2016 |
| DDD-1627A | FACT SHEET - Advance Directives End of Life Care (English/Spanish) | 06/01/2015 |
| DDD-1627B | FACT SHEET - Blood Lead Poisoning | 06/01/2015 |
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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