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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-1051A | Permission for Transfer of Record (English) | 04/01/2023 |
| DDD-1742A | Metabolic Low Protein Foods Ordering Form Vendor- Dietary Specialties Groceries (English) | 04/01/2023 |
| UIB-1263A | Request for Overpayment Waiver (English) | 04/01/2023 |
| LCR-1051A-S | Permission for Transfer of Record (Spanish) | 04/01/2023 |
| DDD-1659A | Agency With Choice: Partnership Agreement (English) | 04/01/2023 |
| DDD-2177A | Getting the Most from Your Pharmacy Benefits (English/Spanish) | 04/01/2023 |
| DDD-1742B | Metabolic Low Protein Foods Ordering Form Vendor - Nutricia North America (English) | 04/01/2023 |
| UIB-1263A-S | Request for Overpayment Waiver (Spanish) | 04/01/2023 |
| CCA-1175A | Landlord Permission to Provide Family Child Care Service (English) | 04/01/2023 |
| DDD-1659A-S | Agency With Choice: Partnership Agreement (Spanish) | 04/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| PPP-1063A-S | HIPAA Privacy Complaints (Spanish) | 05/01/2018 |
| PPP-1063A | HIPAA Privacy Complaints (English) | 05/01/2018 |
| CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers (English) | 05/01/2018 |
| CCA-1141A-S | Direct Deposit Enrollment - DES Certified Homes/Relative Providers (Spanish) | 05/01/2018 |
| DDD-1403B | Individual Supported Employment - Six Month Report | 05/01/2018 |
| DDD-1404C | Employment Support Aide - Quality Assurance Review | 05/01/2018 |
| UB-296 | Report of Illness or Physical Disability (English) | 05/01/2018 |
| UB-296-S | Report of Illness or Physical Disability (Spanish) | 05/01/2018 |
| DDD-1401A | Center Based Employment - Quarterly Report (English) | 04/01/2018 |
| LCR-1078A | OLCR Developmental Home Application Cover Page (English) | 04/01/2018 |
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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