You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
|
GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
|
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
|
FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
|
DES-1059A | Authorization to Release Information | 09/01/2018 |
|
APS-1032A | Authorization to Release Non-HIPAA Information Form | 08/01/2023 |
|
DDD-2149A | Authorization to Release Records | 08/01/2022 |
|
RSA-1365A | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA | 03/01/2019 |
|
RSA-1365A-LP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD And RSA (Large Print) | 09/01/2022 |
|
FAA-1494A | Authorized Representative Removal | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
GCI-1021A | Individualized Family Service Plan - Packet | 04/01/2022 |
|
GCI-1021P | Individualized Family Service Plan with PCSP Supplement (English) | 03/01/2024 |
|
GCI-1021P-S | Individualized Family Service Plan with PCSP Supplement (Spanish) | 03/01/2024 |
|
DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
|
DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
|
UIB-1258A-S | Información acerca del Trabajo Compartido para Empleados | 06/01/2022 |
|
UIA-1057A-S | Información básica del Seguro por Desempleo de Arizona | 05/01/2022 |
|
FAA-1546A-S | Información de Determinar a un Patrocinador | 05/01/2023 |
|
CCA-0100A-S | Información de las Operaciones de un Proveedor de Cuidado de Niños | 01/01/2023 |
|
LDU-1011A-S | Información importante sobre conflictos laborales | 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