Arizona Department of Economic Security
Your Partner for a Stronger Arizona
English Arabic French Persian Spanish Swahili Ukrainian Vietnamese

SpeakUpAZ

Main menu

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

  1. 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. 
  2. 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. 
  3. You can click on the column headers to sort the search results.


Number Document Name Effective Date
CCA-1176A Parent/Guardian Affidavit of Non-Compensated Child Care (English) 07/01/2023
FAA-1513A-S Consejos para Ahorrar Tiempo 07/01/2023
FAA-1410A Grant Diversion Script and Applicant Agreement 07/01/2023
CCA-1176A-S Parent/Guardian Affidavit of Non-Compensated Child Care (Spanish) 07/01/2023
FAA-1415A Illegal Drug Use Statement (English) 07/01/2023
FAA-1410A-S Acuerdo de Solicitante y Guión de Desvío de Subvención 07/01/2023
FAA-1415A-S Illegal Drug Use Statement (Spanish) 07/01/2023
FAA-1410A-LP Grant Diversion Script and Applicant Agreement (Large Print) 07/01/2023
FAA-1642A Continued Child Support Services (English/Spanish) 07/01/2023
FAA-1182A AHCCCS Fraud Prevention Determination Authorization 07/01/2023

Number Document Name Effective Date
GCI-1021E Individualized Family Service Plan (IFSP) Transition (English) 04/01/2022
CCA-1199A-S Emergency Preparedness & Response Planning (Spanish) 04/01/2022
GCI-1021E-S Individualized Family Service Plan (IFSP) Transition (Spanish) 04/01/2022
ESA-1303A Job Order 04/01/2022
UB-194-FF Employer Verification or Requalifying Earnings 04/01/2022
GCI-1141A SSIP Evaluation Plan Summary (English) 04/01/2022
CCA-1199A Emergency Preparedness & Response Planning (English) 04/01/2022
HRP-1005B TEFAP Monthly Inventory and Participation Report (MIPR) Instructions 02/01/2022
HRP-1007A Commodity Transfer Report 02/01/2022
HRP-1014A USDA Civil Rights Complaint and Grievance 02/01/2022

No results available.

No results available.

No results available.

Back to Top