You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1440A-SLP | Cash Assistance Benefit Limit Extension Request - Large Print (Spanish) | 06/01/2023 |
GCI-1086A | A Family's Guide to Funding Early Intervention Services in Arizona (English) | 06/01/2023 |
FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
CCA-1105A-S | Encuesta de reclamante fiscal | 06/01/2023 |
FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
FAA-1440A-SXLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (Spanish) | 06/01/2023 |
GCI-1086A-S | A Family's Guide to Funding Early Intervention Services in Arizona (Spanish) | 06/01/2023 |
FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CSE-1016A | Waiver of Paternity Affidavit (English/Spanish) | 06/01/2020 |
GCI-1088A | Child and Family Assessment Guide for Families (English) | 06/01/2020 |
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
GCI-1084A | Hearing Screening Tracking (English) | 06/01/2020 |
CSE-1314A | Child Supplemental Page (English / Spanish) | 06/01/2020 |
GCI-1084A-S | Hearing Screening Tracking (Spanish) | 06/01/2020 |
GCI-1118A | Arizona Early Intervention Program Non-DES Employee Training Planning and Tracking Form (English) | 06/01/2020 |
GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
AAA-1355A | APS Registry Employer Certification Form | 05/01/2020 |
GCI-1039A | Consent to Obtain Information (English) | 05/01/2020 |
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