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Documents Center
Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Find a Document
- Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down.
- Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks.
- You can click on the column headers to sort the search results.
| Number | Document Name | Effective Date |
|---|---|---|
| EAP-1002A-SLP | LIHEAP Application - Large Print (Spanish) | 05/01/2024 |
| GCI-1157B | Record Review Report (English) | 05/01/2024 |
| GCI-1157C-S | Instructions for Completing the Record Review Report/Prior Written Notice (Spanish) | 05/01/2024 |
| EAP-1002A-S | LIHEAP Application (Spanish) | 05/01/2024 |
| GCI-1157A-S | Record Review Report / Prior Written Notice (Spanish) | 05/01/2024 |
| EAP-1002A | LIHEAP Application (English) | 05/01/2024 |
| J-930-A-S | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) (Spanish) | 05/01/2024 |
| GCI-1224A | AzEIP OnBase Manual (English) | 05/01/2024 |
| DDD-2285A | Services While Traveling Out of State (English) | 05/01/2024 |
| GCI-1157B-S | Record Review Report (Spanish) | 05/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
| FAA-1145A | Authorization to Share Information (English/Spanish) | 07/01/2023 |
| ESA-1306A | Employment Service Registration | 07/01/2023 |
| FAA-0620D | Supplemental Pages for the Treatment Center Monthly Roster | 07/01/2023 |
| FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
| FAA-1523A | Cash Programs Personal Responsibility Agreement (PRA) (English) | 06/01/2023 |
| FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
| FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
| FAA-0059A | Authority to Release Records | 06/01/2023 |
| FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| 30th Month Aug-2017 | 30th Month Financial Report FY-2018 through Aug-2017 | 11/07/2017 |
| GCBVI 2017 | Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2017 | 10/26/2017 |
| 30th Month Jun-2017 | 30th Month Report June Fiscal Year 2017 | 10/18/2017 |
| Statistical Bulletin September 2017 | Statistical Bulletin September 2017 | 10/17/2017 |
| SNA & ET State Plan 2017 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2017 | 10/12/2017 |
| SNA & ET State Plan 2018 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2018 | 10/12/2017 |
| Statistical Bulletin August 2017 | Statistical Bulletin August 2017 | 09/26/2017 |
| Annual Report on Homelessness 2016 | Annual Report on Homelessness 2016 | 09/01/2017 |
| FY2019-Budget | Fiscal Year 2019 DES Budget Request | 08/31/2017 |
| Statistical Bulletin July 2017 | Statistical Bulletin July 2017 | 08/14/2017 |
| Number | Document Name | Effective Date |
|---|---|---|
| AzEIP-TAB-01062023 | DDD Eligibility Application for Children with DCS Technical Assistance Bulletin (English) | 01/06/2023 |
| GCI-1149A | Arizona's Theory of Action / Teoria de Acción de Arizona | 01/01/2023 |
| RSA-1447A | Older Individuals who are Blind Program (full page flyer) | 01/01/2023 |
| RSA-1448A | Older Individuals who are Blind Program (1/2 page flyer) | 01/01/2023 |
| RSA-1447A-S | Programa para Personas de la Tercera Edad que son Ciegas (folleto de página completa) | 01/01/2023 |
| RSA-1448A-S | Programa para Personas de la Tercera Edad que son Ciegas (folleto de 1/2 página) | 01/01/2023 |
| UIT-1271A | A Guide to Unemployment Insurance Tax and Benefits (English) | 12/01/2022 |
| CAP-1001A | Community Action Service Providers | 12/01/2022 |
| CAP-1001A-S | Servicios de Acción Comunitaria | 12/01/2022 |
| ESA-1184D | Veteran’s Priority of Service ID Card | 12/01/2022 |
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Arizona State Resources
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
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