You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
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AAA-1178A | Training Record | 12/01/2022 |
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ESA-1349A | Migrant and Seasonal Farmworker Orientation (English) | 12/01/2022 |
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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 |
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DDD-0208A | Community Living Services (CLS) Application and Agreement (English) | 12/01/2022 |
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AAA-1346A-S | Verificación de Necesidad Médica | 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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CCA-0004A | Accident, Illness or Injury Report (Eng/Span) | 12/01/2022 |
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DDD-0522A | DDD Intake Record (English) | 12/01/2022 |
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CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
AAA-1355A | APS Registry Employer Certification Form | 05/01/2020 |
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GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
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GCI-1039A | Consent to Obtain Information | 05/01/2020 |
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GCI-1039AS | Autorización para Obtener Información | 05/01/2020 |
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ESA-1126A | Cancellation of Direct Deposit (English) | 04/01/2020 |
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ESA-1126A-S | Cancellation of Direct Deposit (Spanish) | 04/01/2020 |
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CCA-1268A | Scholarship Reimbursement Rates | 04/01/2020 |
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GCI-1038B-S | Consentimiento para Evaluación - Aviso Previo por Escrito | 02/01/2020 |
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CSE-1157A | Non-Custodial Parent Request for Administrative Review (English/Spanish) | 02/01/2020 |
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LCR-1033A | Life-Safety Inspection Request | 02/01/2020 |
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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