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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 |
|---|---|---|
| ESA-1322A | Hilton Honors Military Program (English) | 05/01/2024 |
| GCI-1135A | Indicator 8A: Transition Planning Meeting (TPM) Child File Review Form and Guidance (English) | 05/01/2024 |
| FAA-1045A-S | How to Use Your Arizona EBT Card (Spanish) | 05/01/2024 |
| GCI-1157B | Record Review Report (English) | 05/01/2024 |
| EAP-1002A-LP | LIHEAP Application - Large Print (English) | 05/01/2024 |
| GCI-1050A-S | AzEIP Prior Written Notice (Spanish) | 05/01/2024 |
| GCI-1137A | Indicator 8B: PEA Notification Child File Review Form and Guidance (English) | 05/01/2024 |
| GCI-1139A | Indicator 8C: Transition Conference Child File Review Form and Guidance (English) | 05/01/2024 |
| DES-1139A-S | Services Provided by DES (Spanish) | 05/01/2024 |
| GCI-1157C-S | Instructions for Completing the Record Review Report/Prior Written Notice (Spanish) | 05/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
| CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
| FAA-1565A | Nutrition Assistance Drug Testing Agreement (English) | 05/01/2023 |
| DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
| FAA-1366A | Eligibility Requirements | 05/01/2023 |
| CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
| FAA-1768A | Overpayment Compromise Request Form (English) | 05/01/2023 |
| FAA-0574A | Withdrawal or Stop Benefits/Appeal Request (English) | 05/01/2023 |
| FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (English) | 05/01/2023 |
| FAA-1506A | Statement of No Income (English) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| 6AAC18 | Five-year Review Report - Office of Licensing, Certification and Registration | 10/30/2015 |
| Statistical Bulletin September 2015 | Statistical Bulletin September 2015 | 10/14/2015 |
| 30th Month Aug-2016 | 30th Month Report August Fiscal Year 2016 | 10/14/2015 |
| 30th Month Jun-2015 | 30th Month Report June Fiscal Year 2015 | 10/02/2015 |
| DVSF2015 | Domestic Violence Shelter Fund Report for SFY 2015 | 09/25/2015 |
| Statistical Bulletin August 2015 | Statistical Bulletin August 2015 | 09/16/2015 |
| FY2017-Budget | Fiscal Year 2017 DES Budget Request | 09/01/2015 |
| Five Year Strategic Plan SFY 2017 - 2021 | Five Year Strategic Plan SFY 2017 - 2021 | 09/01/2015 |
| DES Welfare-2015 | Annual Welfare Reform Report 2015 | 08/28/2015 |
| 30th Month May-2015 | 30th Month Report May Fiscal Year 2015 | 08/24/2015 |
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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