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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 |
|---|---|---|
| GCI-1050A-S | AzEIP Prior Written Notice (Spanish) | 05/01/2024 |
| Statistical Bulletin March 2024 | Statistical Bulletin March 2024 | 04/25/2024 |
| VR-3.1 | 3.1 Referral, Orientation, Intake Interview and Application | 04/08/2024 |
| SSBG Plan 2024-2025 | Draft - SSBG Plan 2024-2025 | 04/05/2024 |
| AzEIP-TAB-04042024 | AzEIP Cover Sheet for DDD Application for Eligibility Determination Technical Assistance Bulletin | 04/04/2024 |
| 6AAC1-5YRR-2023 | Five-Year Review Report - Department of Economic Security | 04/02/2024 |
| 6AAC4-5YRR-2023 | Five-Year Review Report - RSA | 04/02/2024 |
| 6AAC11-5YRR-2023 | Five-Year Review Report - Job Training Partnership Act | 04/02/2024 |
| 30th Month February 2024 | 30th Month Financial Report FY 2024 through February 2024 | 04/02/2024 |
| FAA-1866A | Add Us to Your Contacts So You Know When to Answer (Eng/Spa) | 04/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
| FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
| GCI-1037A-S | Aviso o Recomendación de la Agencia de Educación Pública (PEA) | 05/01/2023 |
| CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
| FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
| FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
| FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
| FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
| FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
| CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| 30th Month Apr-2015 | 30th Month Report April Fiscal Year 2015 | 07/30/2015 |
| Statistical Bulletin June 2015 | Statistical Bulletin June 2015 | 07/16/2015 |
| Statistical Bulletin May 2015 | Statistical Bulletin May 2015 | 07/08/2015 |
| SSBG Plan 2015-2016 | Social Services Block Grant Plan 2015-2016 | 07/01/2015 |
| Statistical Bulletin April 2015 | Statistical Bulletin April 2015 | 06/10/2015 |
| Statistical Bulletin March 2015 | Statistical Bulletin March 2015 | 05/19/2015 |
| 30th Month Feb-2015 | 30th Month Report February Fiscal Year 2015 | 04/29/2015 |
| TANF Report October 2014 | TANF State Plan Effective October 1, 2014 | 04/17/2015 |
| Statistical Bulletin February 2015 | Statistical Bulletin February 2015 | 03/01/2015 |
| 30th Month Jan-2015 | 30th Month Report January Fiscal Year 2015 | 02/27/2015 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-1694A-S | Residential Service Options for Children (Spanish) | 01/01/2022 |
| FAA-1820A | Employees Receiving Family Assistance Benefits | 01/01/2022 |
| AAA-1382A | Help Prevent Adult Maltreatment in Arizona | 01/01/2022 |
| DDD-1694A | Residential Service Options for Children (English) | 01/01/2022 |
| DDD-2013A | Residential Service Options | 12/01/2021 |
| DDD-2013A-S | Opciones de servicios residenciales | 12/01/2021 |
| DDD-0195B-S | DDD Member Rights and Responsibilities (Spanish) | 11/01/2021 |
| VR-1028A-S | Youth Seeking Subminimum Wage Employment Frequently Asked Questions (Spanish) | 11/01/2021 |
| DES-1235A | Caregiver Resource Guide (English) | 11/01/2021 |
| DES-1235A-S | Caregiver Resource Guide (Spanish) | 11/01/2021 |
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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