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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-0004A | Accident, Illness or Injury Report (Eng/Span) | 12/01/2022 |
| AAA-1180A | Volunteer Application | 12/01/2022 |
| CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
| DDD-0522A | DDD Intake Record (English) | 12/01/2022 |
| DDD-2051A_2022 | Policy Development Tool 2022 | 12/01/2022 |
| CCA-0036A | Permission to Give Medication | 12/01/2022 |
| DDD-1542A | Assisted Living Center Occupancy (English) | 12/01/2022 |
| CCA-0036A-S | Permiso para Administrar Medicamentos | 12/01/2022 |
| DDD-1542A-S | Assisted Living Center Occupancy (Spanish) | 12/01/2022 |
| CCA-0039A | Medical Statement (English) | 12/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-1469A | Spouse Attendant Care Acknowledgment of Understanding (English) | 10/01/2016 |
| GCI-1101A | Reversal/Void Invoice Line Item Request | 10/01/2016 |
| DDD-1469A-S | Spouse Attendant Care Acknowledgment of Understanding (Spanish) | 10/01/2016 |
| HPZ-034-A | AZ Taxonomy of Human Services - Request for a New or Revised Program/Cluster/Service (English) | 10/01/2016 |
| ESA-1297A | Assurances for Interstate and Interstate Clearance Orders | 05/01/2016 |
| CCA-1210B | Child Care Provider Registration Agreement | 04/01/2016 |
| CCA-1210B-S | Acuerdo de Registro del Proveedor de Cuidado De Niños | 04/01/2016 |
| RSA-BP3510 | Responsible Inventory | 06/07/2015 |
| RSA-BP3500 | BEP Adherence to Policy Report | 06/07/2015 |
| RSA-BP3502 | BEP Operator Communication Information Sheet | 06/07/2015 |
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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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