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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-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care (English) | 07/01/2023 |
| FAA-1145A | Authorization to Share Information (English/Spanish) | 07/01/2023 |
| CCA-1176A-S | Parent/Guardian Affidavit of Non-Compensated Child Care (Spanish) | 07/01/2023 |
| ESA-1306A | Employment Service Registration | 07/01/2023 |
| FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
| FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
| FAA-1415A | Illegal Drug Use Statement (English) | 07/01/2023 |
| ESA-1306A-S | Inscripción con el Servicio de Empleo | 07/01/2023 |
| DDD-1783A | Habilitation Outcome Strategies (English) | 07/01/2023 |
| FAA-1825A | Elderly Simplified Application Project (ESAP) Flyer | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| SNA-1066A | Voluntary Participation Agreement (English) | 10/01/2021 |
| CSE-1281A | Agreement to Accept Service by Mail Paternity or Establishment (English/Spanish) | 09/01/2021 |
| DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan (English) | 09/01/2021 |
| LCR-1079A | Developmental Home Compliance Review | 09/01/2021 |
| DDD-2099A-S | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan (Spanish) | 09/01/2021 |
| DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
| DDD-2100A-S | Hoja de horas de verificación de visita electrónica de DDD | 09/01/2021 |
| DDD-2100A | DDD Electronic Visit Verification Paper Timesheet | 09/01/2021 |
| DDD-2101A-S | Electronic Visit Verification (EVV) Paper Timesheet Attestation (Spanish) | 09/01/2021 |
| DDD-2102A | Electronic Visit Verification (EVV) Designee Attestation (English) | 09/01/2021 |
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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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