You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 05/01/2023 |
|
AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
|
FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
|
FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
|
CCA-0221A | Family Child Care Provider Statement of Services | 05/01/2023 |
|
FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
|
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
|
FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
|
FAA-1765A | Authority to Release Information | 05/01/2023 |
|
AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UIB-1258A-S | Información acerca del Trabajo Compartido para Empleados | 06/01/2022 |
|
CCA-1271A-S | Service Consent Form (Spanish) | 06/01/2022 |
|
GCI-1046A | Referral Letter | 06/01/2022 |
|
GCI-1046A-S | Carta de referencia | 06/01/2022 |
|
GCI-1034A | Records Released Log | 06/01/2022 |
|
DCS-1339A | Request for Administrative Review (Seizure of Property) | 06/01/2022 |
|
HRP-1055A | TEFAP Annual Agreement-CHRP/RFB | 06/01/2022 |
|
CCA-1207A-S | Aviso Sobre Derechos de Monitorización - Verificación de Divulgación | 06/01/2022 |
|
LDU-1011A | Important Labor Dispute Information | 06/01/2022 |
|
GCI-1095A | Joint Visit Planning Tool | 06/01/2022 |
Stay up-to-date with news and updates delivered straight to your inbox
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