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 |
|
DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
|
ETA-83 | Weekly Request for Assistance | 09/01/2022 |
|
UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
|
ETA-083-S | Solicitud Semanal de Asistencia | 09/01/2022 |
|
RSA-1365A-LP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD And RSA (Large Print) | 09/01/2022 |
|
UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
|
ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
|
RSA-1365A-SLP | Autorización/Consentimiento para Divulgación y Uso de Información Confidencial entre DDD y RSA (Letra Grande) | 09/01/2022 |
|
LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DES-1077A | Notice of Privacy Practices (English) | 09/01/2018 |
|
ESA-1220A | Work Readiness Self-Assessment | 09/01/2018 |
|
ESA-1220A-S | Autoevaluación Para Determinar La Preparación Laboral | 09/01/2018 |
|
CC-001A-S | Derechos y Responsabilidades de la Asistencia para Cuidado de Niños | 08/01/2018 |
|
CC-001A | Child Care Assistance Rights and Responsibilities | 08/01/2018 |
|
CCA-1015A | Withdrawal or Termination Request (English) | 07/01/2018 |
|
CCA-1015A-S | Withdrawal or Termination Request (Spanish) | 07/01/2018 |
|
DDD-1370A | Child Information Guide | 07/01/2018 |
|
DDD-1370A-S | Información Sobre el Menor | 07/01/2018 |
|
UIB-0098G | Eligibility Investigation Record -Vacation, Holiday, Sick or Severance Pay | 07/01/2018 |
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