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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-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
| DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
| CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
| FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
| FAA-0255A | Separate Household Status Statement | 05/01/2023 |
| FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
| FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
| DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
| CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
| FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| SNA-1000A | Rights and Responsibilities (English) | 06/01/2020 |
| GCI-1088A | Child and Family Assessment Guide for Families (Accessible) | 06/01/2020 |
| CSE-1016A | Waiver of Paternity Affidavit (English/Spanish) | 06/01/2020 |
| GCI-1084A | Hearing Screening Tracking (English) | 06/01/2020 |
| CSE-1314A | Child Supplemental Page (English / Spanish) | 06/01/2020 |
| GCI-1084A-S | Hearing Screening Tracking (Spanish) | 06/01/2020 |
| GCI-1118A | Arizona Early Intervention Program Non-DES Employee Training Planning and Tracking Form (English) | 06/01/2020 |
| GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
| GCI-1039A | Consent to Obtain Information | 05/01/2020 |
| GCI-1039AS | Autorización para Obtener Información | 05/01/2020 |
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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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