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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 |
|---|---|---|
| DES-1139A | Services Provided by DES (English) | 11/01/2024 |
| DDD-2325A | Home and Community-Based Therapy Services Process (English/Spanish) | 11/01/2024 |
| FAA-1004A-LP | Designation of EBT Alternate Cardholder - Large Print (English) | 11/01/2024 |
| DDD-2326A | Types of Therapy Services (English) | 11/01/2024 |
| POX-248-S | Americans with Disabilities Act Notice (Spanish) | 11/01/2024 |
| GCI-1194A-S | You can be a Developmental Special Instructionist (Spanish) | 11/01/2024 |
| GCI-1195A-S | You can be a Service Coordinator (Spanish) | 11/01/2024 |
| FAA-1004A-XLP | Designation of EBT Alternate Cardholder - Extra Large Print (English) | 11/01/2024 |
| DDD-2326A-S | Types of Therapy Services (Spanish) | 11/01/2024 |
| DDD-0195B | DDD Member Rights and Responsibilities (English) | 11/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1821A-S | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application (Spanish) | 10/01/2024 |
| FAA-0412A-LP | Change Report - Large Print (English) | 10/01/2024 |
| FAA-0053A | Verification of New/Current Employment (English) | 10/01/2024 |
| FAA-1847A-SXLP | Electronic Benefit Theft Replacement Request Form - Extra Large Print (Spanish) | 10/01/2024 |
| CCA-0519A | Child Care Programs (English) | 10/01/2024 |
| FAA-0412A | Change Report (English) | 10/01/2024 |
| FAA-0001A | Application for Benefits (English) | 10/01/2024 |
| FAA-0001A-S | Application for Benefits (Spanish) | 10/01/2024 |
| HRP-1065A | Written Notice of Beneficiary Rights (English) | 10/01/2024 |
| FAA-1493A | Authorized Representative Request (English) | 10/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| Statistical Bulletin May 2023 | Statistical Bulletin May 2023 | 06/22/2023 |
| 30th Month April 2023 | 30th Month Financial Report FY 2023 through April 2023 | 06/01/2023 |
| Statistical Bulletin April 2023 | Statistical Bulletin April 2023 | 05/17/2023 |
| LIHWAP FY23 | Low Income Household Water Assistance Program (LIHWAP) Plan | 05/12/2023 |
| SSBG Plan 2023-2024 | Draft SSBG Plan 2023-2024 | 05/08/2023 |
| 30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
| Statistical Bulletin March 2023 | Statistical Bulletin March 2023 | 04/21/2023 |
| LIHEAP Plan FY23 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/19/2023 |
| 30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
| SCSEP State Plan 2020-2023 | Senior Community Service Employment Program (SCSEP) State Plan 2020-2023 | 03/15/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| VR-8.1 | 8.1 Assessments: General | 03/31/2021 |
| VR-9.7 | 9.7 Treatments: Neurorehabilitation | 03/31/2021 |
| VR-4.4 | 4.4 Supported Employment IPE Development | 03/31/2021 |
| VR-8.2 | 8.2 Assessments: Audiology/Ear, Nose & Throat (ENT) | 03/31/2021 |
| VR-9.8 | 9.8 Treatments: Medical Equipment | 03/31/2021 |
| VR-12.8 | 12.8 Other Services | 03/31/2021 |
| VR-4.1 | 4.1 Legal Ability to Work in the US | 03/31/2021 |
| VR-8.3 | 8.3 Assessments: Medical/Dental | 03/31/2021 |
| VR-1.1 | 1.1 Mission/Vision Statement | 03/31/2021 |
| VR-4.2 | 4.2 Timelines for Individualized Plan for Employment (IPE) Development | 03/31/2021 |
| Number | Document Name | Effective Date |
|---|---|---|
| ESA-1349A-S | Migrant and Seasonal Farmworker Orientation (Spanish) | 07/01/2024 |
| CCA-1329A-S | Find Quality Child Care Through CCR&R (Spanish) | 07/01/2024 |
| CCA-1329A | Find Quality Child Care Through CCR&R (English) | 07/01/2024 |
| AAA-1431 | Annual World Elder Abuse Awareness Day (WEAAD) Conference Program | 07/01/2024 |
| FAA-1871A-S | Get Reminders About Your Nutrition and Cash Assistance Application and Benefits (Spanish) | 07/01/2024 |
| ESA-1349A | Migrant and Seasonal Farmworker Orientation (English) | 07/01/2024 |
| GCI-1211A | Initial Visit AzEIP Programmatic Meeting - May 2024 (English) | 07/01/2024 |
| GCI-1212A | Request for Reconsideration Process (English) | 07/01/2024 |
| FAA-1871A | Get Reminders About Your Nutrition and Cash Assistance Application and Benefits (English) | 07/01/2024 |
| GCI-1000A | Watch How I Grow (English/Spanish) | 07/01/2024 |
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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