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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DES-1232A | Arizona Voter Registration Form (Bilingual) | 09/01/2022 |
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CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
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GCI-1096A | Individual Family Teaming Report | 09/01/2022 |
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RSA-1313A-SLP | Autorización de Divulgación de Registros de RSA (Letra Grande) | 09/01/2022 |
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CCA-1101A | Child Care Providers in Arizona | 09/01/2022 |
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RSA-1313A-LP | Authorization for Release of RSA Records (Large Print) | 09/01/2022 |
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CCA-1101A-S | Proveedores de Cuidado de Niños en Arizona | 09/01/2022 |
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RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
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ETA-83 | Weekly Request for Assistance | 09/01/2022 |
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CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UB-296-S | Report of Illness or Physical Disability (Spanish) | 05/01/2018 |
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CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers | 05/01/2018 |
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PPP-1063A | HIPAA Privacy Complaints (English) | 05/01/2018 |
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CCA-1141A-S | Inscripción con Depósito Directo para Proveedores o Parientes Autorizados Por el DES | 05/01/2018 |
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LCR-1080A | Licensing Investigation Template | 04/01/2018 |
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LCR-1080B | Licensing Investigation Procedural Tool | 04/01/2018 |
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DDD-281 | Adult Developmental Home Agreement (English) | 04/01/2018 |
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DDD-289 | Child Developmental Foster Home Agreement | 04/01/2018 |
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ETA- 081A -S | Suplemento a la Solicitud para Solicitantes de DUA que Trabajan por Cuenta Propia | 04/01/2018 |
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CSE-1171A | Affidavit of Financial Information (English/Spanish) | 04/01/2018 |
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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