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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 |
|---|---|---|
| HRP-1065A | Written Notice of Beneficiary Rights (English) | 10/01/2024 |
| FAA-1573A-SXLP | Your Rights and Responsibilities - Extra Large Print (Spanish) | 10/01/2024 |
| FAA-1847A-LP | Electronic Benefit Theft Replacement Request Form - Large Print (English) | 10/01/2024 |
| DES-1254A | DES Programs and Services List (English) | 10/01/2024 |
| FAA-0001C-S | Assistance Programs, What You Need To Know (Spanish) | 10/01/2024 |
| FAA-1874A-S | Change Reporting Education (Spanish) | 10/01/2024 |
| FAA-1847A-SLP | Electronic Benefit Theft Replacement Request Form - Large Print (Spanish) | 10/01/2024 |
| GCI-1021P | Individualized Family Service Plan with PCSP Supplement (English) | 10/01/2024 |
| FAA-1847A-XLP | Electronic Benefit Theft Replacement Request Form - Extra Large Print (English) | 10/01/2024 |
| FAA-1874A | Change Reporting Education (English) | 10/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| GCI-1040A | Consent to Share Early Intervention Records and Information (English) | 07/01/2024 |
| UB-113-S | Combined-Wage Claim Withdrawal (Spanish) | 07/01/2024 |
| WIO-1027A-S | WIOA Title IB Applicant Statement (Spanish) | 07/01/2024 |
| GCI-1207A | FFY 2022 Correction of Noncompliance Guidance (English) | 06/01/2024 |
| EAP-1012A | Limited Authorization to Release Records Transfer of LIHEAP Application to Community Navigation Provider (English) | 06/01/2024 |
| EAP-1012A-S | Limited Authorization to Release Records Transfer of LIHEAP Application to Community Navigation Provider (Spanish) | 06/01/2024 |
| GCI-1050A-S | AzEIP Prior Written Notice (Spanish) | 05/01/2024 |
| OEO-1024A | Title II Grievance Form (English) | 05/01/2024 |
| GCI-1131A | Indicator 1: Timely Provision of Services Child File Review Form and Guidance (English) | 05/01/2024 |
| GCI-1157A | Record Review Report / Prior Written Notice (English) | 05/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| DV Monies Report 2020 | Domestic Violence Monies Report 2020 (English) | 07/27/2021 |
| Five Year Strategic Plan SFY 2021 - 2025 | Five Year Strategic Plan SFY 2021 - 2025 | 07/15/2021 |
| SNA & ET State Plan 2021 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2021 | 05/11/2021 |
| 6AAC18 | Five-Year Review Report-Office of Licensing, Certification, and Regulation | 05/04/2021 |
| Statistical Bulletin December 2020 | Statistical Bulletin December 2020 | 04/11/2021 |
| RSA-1413A | Memorandum of Understanding between AZ DES/DDD and AZ DES/RSA (English) | 04/01/2021 |
| 30th Month January 2021 | 30th Month Financial Report FY 2021 through January 2021 | 03/29/2021 |
| 30th Month February 2021 | 30th Month Financial Report FY 2021 through February 2021 | 03/29/2021 |
| 30th Month December 2020 | 30th Month Financial Report FY 2021 through December 2020 | 03/26/2021 |
| 6AAC10 | Five-Year Review Report - The Jobs Program | 03/02/2021 |
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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