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Reports, Forms, Pamphlets and Policies

You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.

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Download	Number	Name	Effective Date
119.65 KB (119.65 KB)	PAD-465-B	Stuffer for PAD-465 -Change in Coverage of Emergency Dental Benefits	10/01/2017
658.59 KB (658.59 KB)	DD-211	Home Modifications Service Referral and Request	09/01/2017
1.37 MB (1.37 MB)	FAA-1097T	Young Adult Transitional Insurance (YATI) Tribal Referral	09/01/2017
567.85 KB (567.85 KB)	DDD-1662A	Prior Authorization	09/01/2017
667.53 KB (667.53 KB)	FAA-1097A	Young Adult Transitional Insurance (YATI) Referral	09/01/2017
49.5 KB (49.5 KB)	UB-195-FF-S	Affidavit as to Forged Endorsement (Spanish)	08/01/2017
589.57 KB (589.57 KB)	HRP-1041A	Commodity Senior Food Program (CSFP) Waiting List Enrollment Notification	08/01/2017
503.77 KB (503.77 KB)	UB-106-T-I	Completion Instructions for Approved Training Continued Claim, UB-106-T	08/01/2017
49.5 KB (49.5 KB)	LDU-1003A	Labor Dispute Information	08/01/2017
49.5 KB (49.5 KB)	LDU-1003AS	Labor Dispute Information (Spanish)	08/01/2017

Download	Number	Name	Effective Date
532.65 KB (532.65 KB)	Aging Plan 2004-2006	Arizona State Plan on Aging 2004-2006	10/01/2003
2.22 MB (2.22 MB)	DES Welfare-2002	DES Welfare Report 2002	12/31/2002
827.53 KB (827.53 KB)	Annual Report 2001-2002	2001-2002 DES Annual Report	12/31/2002
2.09 MB (2.09 MB)	CCA Market Rate Survey 02	Child Care Market Rate Survey 2002	12/01/2002
1.31 MB (1.31 MB)	Annual Report 2000-2001	2000-2001 DES Annual Report	01/18/2002
2.36 MB (2.36 MB)	DES Welfare-2001	DES Welfare Report 2001	12/31/2001
756.1 KB (756.1 KB)	DES Welfare-2000	DES Welfare Report 2000	12/31/2000

No results available.

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Download	Number	Name	Effective Date
806.98 KB (806.98 KB)	DDD-1694A-S	Colocación fuera del hogar para menores	07/01/2019
1.48 MB (1.48 MB)	DDD-2025A	American Indian Health Plan Fee-for-Service Claims Submission Guide	07/01/2019
422.75 KB (422.75 KB)	FAA-0574A-XLP	Withdrawal or Stop Benefits/Appeal Request (Large Extra Print)	07/01/2019
374.36 KB (374.36 KB)	FAA-0574A-XLPS	Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande)	07/01/2019
295.92 KB (295.92 KB)	FAA-0574A-S	Retirar o Suspender Beneficios/Solicitud de Apelación	07/01/2019
997.88 KB (997.88 KB)	UB-099-Y	Certification of Understanding (Eng/Span)	07/01/2019
437.9 KB (437.9 KB)	DDD-2013A	Residential Services	07/01/2019
171.42 KB (171.42 KB)	FAA-1249A-XLP	Verification of Disability	07/01/2019
1.26 MB (1.26 MB)	DDD-1713A	DDD Customer Service Center	07/01/2019
705.44 KB (705.44 KB)	DDD-2013A-S	Servicios Residenciales	07/01/2019