Main menu
- About DES
- Services
- Basic Needs
- Adult Protective Services
- Food Assistance
- Nutrition Assistance
- How to Apply for Nutrition Assistance
- Frequently Asked Questions
- Change Report for Nutrition, Cash, and Medical Assistance Benefits
- Electronic Benefits Transfer (EBT) Card
- Health-e-Arizona Plus Application
- Publications for Nutrition, Cash, and Medical Assistance Benefits
- Work Requirements for Able-Bodied Adults Without Dependents
- Double Up Food Bucks
- Student Eligibility for SNAP
- How to Support Health in your Home
- Hunger Relief Programs
- Other Food Programs
- Information for DES Partners
- Other Resources
- Appeals
- Contact DES
- Customer Bill of Rights
- Limited English Proficiency
- Office of Program Evaluation
- USDA Programs Nondiscrimination Statements
- Nutrition Assistance
- Medical Assistance
- Refugee Resettlement
- Shelter and Housing
- Domestic Violence Support
- Sexual Violence Support
- Child and Family
- Disabilities
- Older Adults
- Employment
- Job Seekers
- Reentry Services
- Employer Resources
- Apprenticeship
- Unemployment - Individual
- Apply for UI Benefits
- File Your Weekly UI Claims
- ID.me Identity Verification
- Overpayments
- Reemployment Services and Eligibility Assessment (RESEA)
- Disaster Unemployment Assistance
- Pandemic Unemployment Assistance
- ARIZONA@WORK Employment Resources
- Income Tax Information
- Eligibility for Unemployment Benefits
- Work Search and Your Eligibility for Unemployment Benefits
- How Do I and Frequently Asked Questions
- Forms & Pamphlets
- Contact Arizona UI
- UI Benefit Fraud
- How To File An Appeal For UI Benefits
- UI Data Dashboard
- Working with a Disability
- Employment Service/Related Law Complaint
- Unemployment - Employer
- Applying for an Unemployment Insurance Tax Account Number
- Report Changes to Your Business
- Reporting Wages and Paying Unemployment Insurance Taxes
- Employment Taxes - Calculating Unemployment Taxes
- Unemployment Insurance Tax Forms
- Unemployment Insurance Tax Frequently Asked Questions
- Request UI Records
- Employer Handbook/ Unemployment Tax
- Employer Handbook/ Unemployment Benefit Claims
- AZ Unemployment Insurance Tax Survey
- Contact the Unemployment Tax Office
- Arizona Shared Work Program
- Senior Community Service Employment Program
- Veterans
- Workforce Innovation and Opportunity Act (WIOA)
- Arizona State Monitor Advocate
- Basic Needs
- How do I?
- Do Business with DES?
- Request a Vendor Meeting
- Frequently Asked Questions
- Learn about HIPAA?
- Request Assistance?
- Request DES Records?
- Submit Website Feedback?
- Work for DES?
- ADA Disability Rights/Reasonable Accommodations
- Volunteer?
- File a Discrimination Complaint
- Report Developmental Disabilities Fraud, Waste and Abuse
- Documents Center
- Media Center
- Office Locator
- Report Fraud
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 |
|---|---|---|
| DDD-1551A | Medallion Program - Order Form (English) | 09/01/2024 |
| ESA-1314B-S | Notification of Complaint to Employer (Spanish) | 09/01/2024 |
| DDD-1375A | Support Coordinator Introductory Letter (English) | 09/01/2024 |
| DDD-2307A | Quick Reference Guide: Voter Registration (English/Spanish) | 09/01/2024 |
| CSE-1290A | Caretaker's Statement Regarding Physical Custody of a Child or Children (English) | 09/01/2024 |
| FAA-1826A-XLP | Nutrition Assistance (NA) Authorized Representative Request - Extra Large Print (English) | 09/01/2024 |
| DDD-1551A-S | Medallion Program - Order Form (Spanish) | 09/01/2024 |
| FAA-1549A | Merchant Restaurant Meals Program (English) | 09/01/2024 |
| CSE-1160A | Request to Close Child Support Case (English/Spanish) | 09/01/2024 |
| CSE-1290A-S | Caretaker's Statement Regarding Physical Custody of a Child or Children (Spanish) | 09/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| UB-106-T-I-S | Completion Instructions for Approved Training Continued Claim, UB-106-T (Spanish) | 11/01/2023 |
| DDD-2238A | Home Delivered Meal Service Referral Form (English) | 11/01/2023 |
| RRP-1017A | Program Participants Application for Recertification (English) | 11/01/2023 |
| EAP-1006A | LIHEAP Portable Fuel Certification (English) | 11/01/2023 |
| RRP-1018A | Client Employment & Income Attestation Form (English) | 11/01/2023 |
| EAP-1006A-S | LIHEAP Portable Fuel Certification (Spanish) | 11/01/2023 |
| GCI-1094A | Early Intervention Contact Log (English) | 11/01/2023 |
| CCA-0229A-FY24 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2024 (English/Spanish) | 10/01/2023 |
| RRP-1015A | Statement of Understanding | 10/01/2023 |
| AAA-1418A | Family Caregiver Support Program Reporting Matrix | 10/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FY2021-Budget | Fiscal Year 2021 DES Budget Request | 09/05/2019 |
| DES Welfare-2019 | SFY 2019 Annual Welfare Reform Report | 08/28/2019 |
| Statistical Bulletin July 2019 | Statistical Bulletin July 2019 | 08/23/2019 |
| EEO Utilization Report | Equal Employment Opportunity Utilization Report | 08/16/2019 |
| SNA & ET State Plan 2020 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2020 | 08/01/2019 |
| 30th Month Mar 2019 | 30th Month Financial Report FY 2019 through Mar 2019 | 07/26/2019 |
| 30th Month Apr 2019 | 30th Month Financial Report FY 2019 through Apr 2019 | 07/26/2019 |
| 30th Month May 2019 | 30th Month Financial Report FY 2019 through May 2019 | 07/26/2019 |
| Statistical Bulletin June 2019 | Statistical Bulletin June 2019 | 07/15/2019 |
| SSBG Plan 2019-2020 | Social Services Block Grant Plan 2019-2020 | 07/01/2019 |
| Number | Document Name | Effective Date |
|---|---|---|
| GCI-1148A | Directory of Early Intervention Programs (English) | 07/01/2023 |
| GCI-1162A | AzEIP Interim IFSP Decision Tree | 07/01/2023 |
| FAA-1492A | Authorized Representatives - Rights & Responsibilities (English) | 07/01/2023 |
| FAA-1819A | EBT Card Safety and Fraud Prevention | 07/01/2023 |
| GCI-1161A | AzEIP Programmatic Meeting | 07/01/2023 |
| GCI-1148A-S | Directory of Early Intervention Programs (Spanish) | 07/01/2023 |
| FAA-1825A | Elderly Simplified Application Project (ESAP) Flyer | 07/01/2023 |
| FAA-1818A | Nutrition Assistance (NA) Medical Expense Deduction | 07/01/2023 |
| FAA-1825A-S | Elderly Simplified Application Project (ESAP) Flyer (Spanish) | 07/01/2023 |
| FAA-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
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
© Copyright 2024 DES