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An illegal choice has been detected. Please contact the site administrator.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.
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| Number | Document Name | Effective Date |
|---|---|---|
| DDD-1551A-Flyer | Medallion Program Flyer (English/Spanish) | 10/01/2019 |
| CCA-1251A | Start or Grow you Child Care Business | 10/01/2019 |
| LCR-1034A | Criminal History Self Disclosure Affidavit (English) | 10/01/2019 |
| GCBVI 2019 | Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2019 | 10/03/2019 |
| Statistical Bulletin April 2018 | Statistical Bulletin April 2018 | 10/15/2019 |
| Statistical Bulletin September 2019 | Statistical Bulletin September 2019 | 10/30/2019 |
| WIO-1112A | Arizona Reentry Program | 11/01/2019 |
| 30th Month August 2019 | 30th Month Financial Report FY 2020 through August 2019 | 11/05/2019 |
| 30th Month September 2019 | 30th Month Financial Report FY 2020 through September 2019 | 11/05/2019 |
| FAA-1442A | Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información | 12/01/2019 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance (English) | 05/01/2023 |
| FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
| FAA-0574A-SLP | Withdrawal or Stop Benefits/Appeal Request - Large Print (Spanish) | 05/01/2023 |
| CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
| FAA-0255A-S | Afirmación De Hogares Por Separado | 05/01/2023 |
| CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
| FAA-1353A-S | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance (Spanish) | 05/01/2023 |
| FAA-0255A | Separate Household Status Statement | 05/01/2023 |
| CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
| GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| 30th Month January 2025 | 30th Month Financial Report FY 2025 through January 2025 | 03/06/2025 |
| Statistical Bulletin February 2025 | Statistical Bulletin February 2025 | 03/10/2025 |
| 30th Month February 2025 | 30th Month Financial Report FY 2025 through February 2025 | 03/31/2025 |
| ED FORM No. 1 B20—26P | FY 2025 IDEA, Part C Annual Grant Application for Federal Funds | 04/01/2025 |
| Statistical Bulletin March 2025 | Statistical Bulletin March 2025 | 04/08/2025 |
| LIHEAP Plan FY25 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/17/2025 |
| SSBG Plan 2025-2026 | Draft - Social Services Block Grant Plan 2025-2026 | 07/01/2025 |
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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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