Arizona Department of Economic Security
Your Partner for a Stronger Arizona
English Arabic French Persian Spanish Swahili Ukrainian Vietnamese

SpeakUpAZ

Main menu

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

  1. 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. 
  2. 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. 
  3. You can click on the column headers to sort the search results.


Number Document Name Effective Date
DDD-1658A-S Agency With Choice: Individual Representative (Spanish) 02/01/2023
LCR-1084A Application for Renewal or Amended HCBS Certificate for Independent Providers (English) 02/01/2023
CCA-1216A Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES 02/01/2023
DDD-2173A Request for Amended/Correction of Protected Health Information (PHI) 02/01/2023
CSE-1225A Caretakers Raising Children (English) 02/01/2023
CSE-1225A-S Caretakers Raising Children (Spanish) 02/01/2023
LCR-1084A-S Application for Renewal or Amended HCBS Certificate for Independent Providers (Spanish) 02/01/2023
DDD-2171A Accounting Disclosures Tracking 02/01/2023
DDD-2174A Request for Restriction of Protected Health Information (PHI) 02/01/2023
FAA-0001U Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 02/01/2023

Number Document Name Effective Date
ETA-081A Supplement to Application for DUA Self-Employed Individuals 04/01/2018
WIO-1079A WIOA Pre-Approval Questionnaire for Equipment and Vehicles Over $5,000 (English) 04/01/2018
PAU-592 Data Disclosure Information and Fee Schedule 04/01/2018
CSE-1171A Affidavit of Financial Information (English/Spanish) 04/01/2018
LCR-1080A Licensing Investigation Template 04/01/2018
LCR-1080B Licensing Investigation Procedural Tool 04/01/2018
DDD-281 Adult Developmental Home Agreement (English) 04/01/2018
DDD-289 Child Developmental Foster Home Agreement 04/01/2018
UIT-1146A Limited Power of Attorney (English) 04/01/2018
DD-099-A Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old 03/01/2018

No results available.

No results available.

No results available.

Back to Top