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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 |
|---|---|---|
| DDD-1003A | PASRR II Assessment (English) | 07/01/2024 |
| UB-113 | Combined-Wage Claim Withdrawal (English) | 07/01/2024 |
| WIO-1027A | WIOA Title IB Applicant Statement (English) | 07/01/2024 |
| J-930-A-SLP | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) - Large Print (Spanish) | 07/01/2024 |
| UB-113-S | Combined-Wage Claim Withdrawal (Spanish) | 07/01/2024 |
| WIO-1027A-S | WIOA Title IB Applicant Statement (Spanish) | 07/01/2024 |
| J-930-A-LP | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) - Large Print (English) | 07/01/2024 |
| OEO-1024A-LP | Title II Grievance Form - Large Print (English) | 07/01/2024 |
| Statistical Bulletin May 2024 | Statistical Bulletin May 2024 | 06/25/2024 |
| EAP-1012A-S | Limited Authorization to Release Records Transfer of LIHEAP Application to Community Navigation Provider (Spanish) | 06/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1197A-S | Emergency Preparedness and Response Plan for Certified Family Child Care Providers (Spanish) | 07/01/2023 |
| LCR-1028A | Agency Roster of Employees (English) | 07/01/2023 |
| FAA-1410A-XLP | Grant Diversion Script and Applicant Agreement - Extra Large Print (English) | 07/01/2023 |
| DDD-0308A | Individual Emergency Information - Residential | 07/01/2023 |
| CCA-1198A-S | Acuse de Recibo y Entendimiento | 07/01/2023 |
| FAA-1724A | Application Signature Pages (English) | 07/01/2023 |
| FAA-1410A-SXLP | Grant Diversion Script and Applicant Agreement - Extra Large Print (Spanish) | 07/01/2023 |
| CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care (English) | 07/01/2023 |
| FAA-1415A-SLP | Illegal Drug Use Statement - Large Print (Spanish) | 07/01/2023 |
| CCA-1176A-S | Parent/Guardian Affidavit of Non-Compensated Child Care (Spanish) | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| SSBG Plan 2017-2018 | Social Services Block Grant Plan 2017-2018 | 07/01/2017 |
| 30th Month Apr-2017 | 30th Month Report April Fiscal Year 2017 | 06/21/2017 |
| Statistical Bulletin May 2017 | Statistical Bulletin May 2017 | 06/14/2017 |
| APS SFY 2016 | Adult Protective Services Annual Activity 2016 Report | 06/01/2017 |
| 2016 Homeless Lottery Funds Report | 2016 Homeless Lottery Funds Report | 06/01/2017 |
| DVS-1004A | Domestic Violence Monies Dec 2016 (English) | 06/01/2017 |
| 6AAC3 | Five-year Review Report – Unemployment Insurance | 05/27/2017 |
| 6AAC8 | Five-year Review Report - Aging and Adult Administration | 05/19/2017 |
| 30th Month Mar-2017 | 30th Month Report March Fiscal Year 2017 | 05/16/2017 |
| Statistical Bulletin April 2017 | Statistical Bulletin April 2017 | 05/11/2017 |
| Number | Document Name | Effective Date |
|---|---|---|
| GCI-1093A | What to Expect from Team Based Early Intervention (English) | 11/01/2022 |
| GCI-1106A | Arizona Early Intervention Program Child Care Providers | 11/01/2022 |
| GCI-1093A-S | What to Expect from Team Based Early Intervention (Spanish) | 11/01/2022 |
| ESA-1060A-S | Need Help Finding a Job? (Spanish) | 10/01/2022 |
| ESA-1060A | Need Help Finding a Job? (English) | 10/01/2022 |
| GCI-1125A | Arizona Early Intervention Program Billing Manual - October 2022 (English) | 10/01/2022 |
| EAP-1000A-S | Need Help Paying Your Energy Bill (Spanish) | 10/01/2022 |
| EAP-1000A | Need Help Paying Your Energy Bill (English) | 10/01/2022 |
| GCI-1070A | Child and Family Rights in the Arizona Early Intervention Program (English) | 10/01/2022 |
| GCI-1070A-S | Child and Family Rights in the Arizona Early Intervention Program (Spanish) | 10/01/2022 |
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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