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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 |
|---|---|---|
| CCA-0001A | Application for Child Care Assistance (English) | 08/01/2024 |
| RSA-1365A | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA (English) | 08/01/2024 |
| VR-1009A-SLP | Vocational Rehabilitation Client Handbook-Large Print (Spanish) | 08/01/2024 |
| OIG-1008A | Request to Voluntarily Withdraw from an Appeal - DCAD (English) | 08/01/2024 |
| OIG-1009A | Request to Voluntarily Withdraw from an Appeal - DBME (English) | 08/01/2024 |
| RSA-1365A-S | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA (Spanish) | 08/01/2024 |
| CCA-1196A | Potential Overpayment Referral (English) | 08/01/2024 |
| CCA-0001A-S | Application for Child Care Assistance (Spanish) | 08/01/2024 |
| OEO-1009A | Title VI/ADA Non Discrimination Notice to the Public (English / Spanish) | 08/01/2024 |
| GCI-1218A | Eligibility AzEIP Programmatic Meeting-June 2024 | 08/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| GCI-1094A | Early Intervention Contact Log (English) | 11/01/2023 |
| UB-106-T-I | Completion Instructions for Approved Training Continued Claim, UB-106-T (English) | 11/01/2023 |
| UB-106-T-I-S | Completion Instructions for Approved Training Continued Claim, UB-106-T (Spanish) | 11/01/2023 |
| DDD-2238A | Home Delivered Meal Service Referral Form (English) | 11/01/2023 |
| RRP-1017A | Program Participants Application for Recertification (English) | 11/01/2023 |
| EAP-1006A | LIHEAP Portable Fuel Certification (English) | 11/01/2023 |
| RRP-1018A | Client Employment & Income Attestation Form (English) | 11/01/2023 |
| EAP-1006A-S | LIHEAP Portable Fuel Certification (Spanish) | 11/01/2023 |
| UB-106A-S | Weekly Claim for Unemployment Insurance (UI) Benefits (Spanish) | 10/01/2023 |
| CCA-0229A-FY24 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2024 (English/Spanish) | 10/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| Statistical Bulletin March 2020 | Statistical Bulletin March 2020 | 04/15/2020 |
| Statistical Bulletin February 2020 | Statistical Bulletin February 2020 | 03/31/2020 |
| 30th Month January 2020 | 30th Month Financial Report FY 2020 through January 2020 | 03/19/2020 |
| SFMNP-WIC-FMNP | Seniors Farmer's Market Nutrition Program (SFMNP) and the WIC Farmer's Market Nutrition (FMNP) Program Policy and Procedure Manual | 03/03/2020 |
| Statistical Bulletin January 2020 | Statistical Bulletin January 2020 | 02/28/2020 |
| 30th Month December 2019 | 30th Month Financial Report FY 2019 through December 2019 | 02/14/2020 |
| Statistical Bulletin December 2019 | Statistical Bulletin December 2019 | 02/04/2020 |
| 6AAC14 | Five-Year Review Report - Food Stamps Program | 02/04/2020 |
| 30th Month November 2019 | 30th Month Financial Report FY 2019 through November 2019 | 01/07/2020 |
| 2019 Homeless Lottery Funds Report | 2019 Homeless Lottery Funds Report | 01/06/2020 |
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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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