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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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
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HRP-1040A | Annual USDA Commodity Food Service Application and Agreement Between Regional Food Bank and Distribution Site | 09/01/2022 |
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UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
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UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 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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RSA-1313A-LP | Authorization for Release of RSA Records (Large Print) | 09/01/2022 |
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ETA-83 | Weekly Request for Assistance | 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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DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FBU-1003A | DERS Direct Service Position | 05/01/2017 |
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DDD-1151A | Augmentative Alternative Communication (AAC) Evalution Request (English) | 04/01/2017 |
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UB-101-A | Work Search Log (English / Spanish) | 04/01/2017 |
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CCA-1114A | Contractor Eligibility Verification | 04/01/2017 |
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CSE-1249A | Father Matters Referral | 04/01/2017 |
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DDD-1753A | Policy and Procedure Focused Review: Responsible Driving Tool/Transporting Members (English) | 03/01/2017 |
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WIO-1057A | H-2B Foreign Labor SWA Job Order Form | 02/01/2017 |
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CCA-1228A | Direct Service Position (Certification Form) | 12/01/2016 |
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GCI-1101A | Reversal/Void Invoice Line Item Request | 10/01/2016 |
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DDD-1469A | Spouse Attendant Care Acknowledgment of Understanding (English) | 10/01/2016 |
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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