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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 |
|---|---|---|
| FAA-0155A-S | Antecedentes de Empleo o Capacitación Reciente | 06/01/2023 |
| ESA-1380A | TANF Refugee Program | 06/01/2023 |
| FAA-1055A-S | ¡HAGA CORRER LA VOZ! | 06/01/2023 |
| FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
| FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
| FAA-0155B-S | Determinación de Principal Devengador(a) de Ingresos (PWE por sus siglas en inglés) | 06/01/2023 |
| FAA-0126A | Nutrition Assistance Frequently Asked Questions | 06/01/2023 |
| FAA-1788A | Proof of Eligibility Card (English) | 06/01/2023 |
| FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
| FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-0201A-S | Declaración de Certificación para Proveer Servicios de Cuidado de Niños | 12/01/2020 |
| DDD-2063A | Ongoing Quarterly Progress Report (QPR) Plan of Care/Treatment Plan | 12/01/2020 |
| CSE-0258A | Affidavit of Paternity Rescission (English/Spanish) | 12/01/2020 |
| CCA-1277A | Sample Child Care Provider Expulsion Prevention Policy (English) | 11/01/2020 |
| CCA-1277A-S | Sample Child Care Provider Expulsion Prevention Policy (Spanish) | 11/01/2020 |
| LCR-1063A | Developmental Home License Denial, Revocation or Suspension Hearing Request | 10/01/2020 |
| LCR-1063A-S | Petición Audiencia Sobre Denegación, Revocación o Suspensión de Certificación de Hogar de o Comunitario | 10/01/2020 |
| LCR-1030A | Request to Withdraw HCBS Certification | 10/01/2020 |
| CCA-1272A-S | Reconocimiento de los padres de AZ STEPS | 09/01/2020 |
| LCR-1025A-S | Application for Initial HCBS Certification (Spanish) | 09/01/2020 |
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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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