You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
|
CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
|
AAA-1035A-NAVAJO | Arizona Long-Term Care Ombudsman Program (Navajo) | 10/01/2022 |
|
LCR-1005A | Notice of Inspection Rights | 10/01/2022 |
|
ETA-086 | Disaster Unemployment Assistance Handbook | 10/01/2022 |
|
AAA-1034A | Contact Your Local Ombudsman Program | 10/01/2022 |
|
AAA-1034A-S | Comuníquese con el Programa de ombudsman local | 10/01/2022 |
|
AAA-1035A | Arizona Long-Term Care Ombudsman Program (English) | 10/01/2022 |
|
GCI-1147A | Records Request Response (AzEIP) | 10/01/2022 |
|
CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
AAA-1217A | Monthly Legal Services Assistance Report | 09/01/2018 |
|
CCA-1161A | Self-Sufficiency Statement | 09/01/2018 |
|
CCA-1161A-S | Declaración de Autosuficiencia | 09/01/2018 |
|
DES-1077A-S | Notice of Privacy Practices (Spanish) | 09/01/2018 |
|
DES-1077A-LP | Notice of Privacy Practices - Large Print (English) | 09/01/2018 |
|
UIB-0098D | Eligibility Investigation Record - Administrative Penalty | 09/01/2018 |
|
DES-1077A-S-LP | Notice of Privacy Practices - Large Print (Spanish) | 09/01/2018 |
|
ESA-1220A | Work Readiness Self-Assessment | 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 |
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