You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
ESA-1184D | Veteran’s Priority of Service ID Card | 12/01/2022 |
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DDD-0208A-S | Community Living Services (CLS) Application and Agreement (Spanish) | 12/01/2022 |
|
CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
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FAA-1548A | Restaurant Owners Needed (English) | 12/01/2022 |
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AAA-1345A-S | Solicitud del Programa de Reembolso al Cuidador Familiar de Arizona | 12/01/2022 |
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EAP-1004A-S | Applicant Statement of Tribal LIHEAP Denial (Spanish) | 12/01/2022 |
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DDD-0208A | Community Living Services (CLS) Application and Agreement (English) | 12/01/2022 |
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DDD-1541A | ALTCS Enrollment Transition Information (ETI) (English) | 12/01/2022 |
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CCA-0036A | Permission to Give Medication | 12/01/2022 |
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EAP-1004A | Applicant Statement of Tribal LIHEAP Denial (English) | 12/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
PPP-1063A | HIPAA Privacy Complaints (English) | 05/01/2018 |
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DDD-1405A | Transition to Employment - Quarterly Report | 05/01/2018 |
|
DDD-1405B | Transition To Employment - Six Month Report (English) | 05/01/2018 |
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DDD-1405C | Transition To Employment - Quality Assurance Review | 05/01/2018 |
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CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers (English) | 05/01/2018 |
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RSA-1313A | Authorization for Release of RSA Records | 05/01/2018 |
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CCA-1141A-S | Direct Deposit Enrollment - DES Certified Homes/Relative Providers (Spanish) | 05/01/2018 |
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LCR-1078A | OLCR Developmental Home Application Cover Page (English) | 04/01/2018 |
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UIT-1146A | Limited Power of Attorney (English) | 04/01/2018 |
|
CSE-1171A | Affidavit of Financial Information (English/Spanish) | 04/01/2018 |
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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