You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DES-1232A | Arizona Voter Registration Form (Bilingual) | 09/01/2022 |
|
CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
|
HRP-1040A | Annual USDA Commodity Food Service Application and Agreement Between Regional Food Bank and Distribution Site | 09/01/2022 |
|
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 |
|
ETA-83 | Weekly Request for Assistance | 09/01/2022 |
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GCI-1096A | Individual Family Teaming Report | 09/01/2022 |
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RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
|
ETA-083-S | Solicitud Semanal de Asistencia | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1404C | Employment Support Aide - Quality Assurance Review | 05/01/2018 |
|
DDD-1403B | Individual Supported Employment - Six Month Report | 05/01/2018 |
|
UB-296-S | Report of Illness or Physical Disability (Spanish) | 05/01/2018 |
|
PPP-1063A | HIPAA Privacy Complaints (English) | 05/01/2018 |
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DDD-1405A | Transition to Employment - Quarterly Report | 05/01/2018 |
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CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers | 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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DDD-1405B | Transition To Employment - Six Month Report (English) | 05/01/2018 |
|
DDD-1405C | Transition To Employment - Quality Assurance Review | 05/01/2018 |
|
RSA-1313A | Authorization for Release of RSA Records | 05/01/2018 |
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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