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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 |
|---|---|---|
| LCR-1023A | Life-Safety Inspection Report (English) | 02/01/2024 |
| UB-105 | Arizona Initial Claim for Unemployment Insurance (English) | 02/01/2024 |
| AAA-1059A | Conflict of Interest Statement (English) | 02/01/2024 |
| UB-105-S | Arizona Initial Claim for Unemployment Insurance (Spanish) | 02/01/2024 |
| LCR-1023A-S | Life-Safety Inspection Report (Spanish) | 02/01/2024 |
| HRP-1023A | The Emergency food Assistance Program (English/Spanish) | 02/01/2024 |
| HRP-1037A | Commodity Senior Food Program (CSFP) Recertification Notice (English) | 02/01/2024 |
| DDD-2244A | DDD Eligibility for Children Birth to Three Years (English/Spanish) | 02/01/2024 |
| DCAD-1004A | Self-Employment Income Statement (English) | 02/01/2024 |
| DCAD-1004A-S | Self-Employment Income Statement (Spanish) | 02/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| SWP-1000A | Shared Work Program Employer Handbook (English) | 04/01/2023 |
| DDD-1742C | Metabolic Low Protein Foods Ordering Form Vendor - PKU Perspectives (English) | 04/01/2023 |
| GCI-1043A-S | Informe De Evaluación Del Desarrollo | 04/01/2023 |
| LCR-1052A | On-Going Professional Development Plan | 04/01/2023 |
| DDD-1742D | Metabolic Low Protein Foods Ordering Form Vendor - Ener-G Foods, Inc (English) | 04/01/2023 |
| DDD-0223A | Residential Pre-Move Checklist (English) | 04/01/2023 |
| DDD-1742E | Metabolic Low Protein Foods Ordering Form Vendor - Cambrooke Foods (English) | 04/01/2023 |
| LCR-1064A | Statement of Understanding-Application for HCBS Certification | 03/01/2023 |
| DDD-2176A | Residency Agreement (English) | 03/01/2023 |
| LCR-1064A-S | Declaración de Entendimiento Solicitud de Certificación para HCBS | 03/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| 30th Month Aug-2014 | 30th Month Report August Fiscal Year 2014 | 10/30/2013 |
| Statistical Bulletin September 2013 | Statistical Bulletin September 2013 | 10/15/2013 |
| WIA 2012 Annual Report | Arizona PY12 WIA Title IB Annual Report | 10/01/2013 |
| Statistical Bulletin August 2013 | Statistical Bulletin August 2013 | 09/12/2013 |
| DES Welfare-2013 | Annual Welfare Reform Report 2013 | 09/09/2013 |
| Tribal Consultation Report 2013 | Tribal Consultation Report 2013 | 09/04/2013 |
| Statistical Bulletin July 2013 | Statistical Bulletin July 2013 | 08/15/2013 |
| Statistical Bulletin June 2013 | Statistical Bulletin June 2013 | 07/29/2013 |
| SSBG Plan 2013-2014 | Social Services Block Grant Plan 2013-2014 | 07/01/2013 |
| Statistical Bulletin May 2013 | Statistical Bulletin May 2013 | 06/14/2013 |
| Number | Document Name | Effective Date |
|---|---|---|
| SNA-1060A | Supplemental Nutrition Assistance -Employment and training Program | 12/01/2020 |
| RSA-1242A-S | Transición con la Rehabilitación Vocacional | 12/01/2020 |
| RSA-1242A-LP | Vocational Rehabilitation Transition (Large Print) | 12/01/2020 |
| RSA-1242A-SLP | Transición con la Rehabilitación Vocacional (Letra Grande) | 12/01/2020 |
| CSE-1051A | How to Apply for IV-D Child Support Services (English) | 11/01/2020 |
| CSE-1051A-S | How to Apply for IV-D Child Support Services (Spanish) | 11/01/2020 |
| CCA-0626A | Non-Certified Relative Child Care Provider | 10/01/2020 |
| CCA-0626A-S | Parientes como Proveedores No Certificados de Cuidado de Niños | 10/01/2020 |
| DDD-2073A | Long Term Care / Home and Community Based Services Claims Submission Guide | 09/01/2020 |
| DDD-2082A | Report Suspected Abuse, Neglect or Exploitation | 09/01/2020 |
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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