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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 |
|---|---|---|
| AG-119-S | Nutritional Health Screening Tool (Spanish) | 10/01/2023 |
| AAA-1182A | Arizona Nutrition, Food Service and Wellness Manual (English) | 10/01/2023 |
| DDD-1856A | Supported Living Planning Guide (English) | 10/01/2023 |
| FAA-1842A-S | Remplazo de Beneficios de Asistencia Nutricional (NA) - Alimentos Destruidos en un Desastre o Desgracia | 10/01/2023 |
| FAA-1842A | Replacement of Nutrition Assistance Benefits - Food Destroyed in a Disaster/Misfortune | 10/01/2023 |
| CCA-0229A-FY24 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2024 (English/Spanish) | 10/01/2023 |
| AAA-1351A | Non-Registered Quarterly Report | 10/01/2023 |
| DDD-1856A-LP | Supported Living Planning Guide - Large Print (English) | 10/01/2023 |
| AAA-1350A | Caregiver Registration Form | 10/01/2023 |
| ESA-1383A | Resources for H-2B Workers | 10/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| ETA-081-S | Solicitud Inicial de asistencia para desempleados por desastre | 09/01/2022 |
| LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
| DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
| DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
| CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
| HRP-1040A | Annual USDA Commodity Food Service Application and Agreement Between Regional Food Bank and Distribution Site | 09/01/2022 |
| ETA-83 | Weekly Request for Assistance | 09/01/2022 |
| GCI-1096A | Individual Family Teaming Report (English) | 09/01/2022 |
| CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
| RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-1807ACRD-S | Volunteer with a Human Rights Committee (Card Spanish) | 03/01/2017 |
| OBM-1000A | The Office of the Ombudsman | 01/01/2017 |
| OBM-1000A-S | La Oficina de Defensor de Cliente | 01/01/2017 |
| DDD-1795APAMPD | Dental Care Adult (Ages 21+) (English) | 12/01/2016 |
| DDD-1795APAMS | Dental Care Adult (Ages 21+) (Spanish) | 12/01/2016 |
| DDD-1751A | Responsible Driving Information Fact Sheet#6 (English) | 07/01/2016 |
| DDD-1745A-S | Vehicle Safety Buckle Up - Q&A's (Spanish) | 06/01/2016 |
| UIB-1220A | The Following Information is Required to File a New Application | 06/01/2016 |
| DDD-1745A | Vehicle Safety Buckle Up - Q&A's (English) | 05/01/2016 |
| UIB-1219B | How to File Your Weekly Claim (Bilingual) | 04/01/2016 |
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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