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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 |
|---|---|---|
| HRP-1065A | Written Notice of Beneficiary Rights (English) | 10/01/2024 |
| FAA-0412A-S | Change Report (Spanish) | 10/01/2024 |
| FAA-1821A-SLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Large Print (Spanish) | 10/01/2024 |
| DDD-0465A-S | Arizona Long Term Care System (ALTCS) Member Handbook (Spanish) | 10/01/2024 |
| GCI-1021P-S | Individualized Family Service Plan with PCSP Supplement (Spanish) | 10/01/2024 |
| FAA-1874A-S | Change Reporting Education (Spanish) | 10/01/2024 |
| FAA-0412A-XLP | Change Report - Extra Large Print (English) | 10/01/2024 |
| FAA-1821A-XLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Extra Large Print (English) | 10/01/2024 |
| FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 10/01/2024 |
| AAA-1167A | Legal Assistance for Older Adults (English) | 10/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-1986A | PRC Contact Information (English) | 08/01/2024 |
| RSA-1365A-SLP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA - Large Print (Spanish) | 08/01/2024 |
| ESA-1193A-S | Veterans' Assessment Tool (Spanish) | 08/01/2024 |
| DDD-1986A-S | PRC Contact Information (Spanish) | 08/01/2024 |
| CCA-0001A | Application for Child Care Assistance (English) | 08/01/2024 |
| DDD-1987A | Agreement of Behavior Plan (English) | 08/01/2024 |
| DDD-1987A-S | Agreement of Behavior Plan (Spanish) | 08/01/2024 |
| CCA-0001A-S | Application for Child Care Assistance (Spanish) | 08/01/2024 |
| RSA-1484A | Pre-Employment Transition Services Request Form Checklist (English/Spanish) | 08/01/2024 |
| CCA-1328A | Potential Provider Overpayment Referral (English) | 08/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| Child Count 2021 | Child Count 2021 | 06/20/2022 |
| 2020 Child Count, Settings, Exits, and Dispute Resolution | 2020 Child Count, Settings, Exits, and Dispute Resolution | 06/20/2022 |
| 30th Month April 2022 | 30th Month Financial Report FY 2022 through April 2022 | 06/02/2022 |
| 6AAC3-5YRR-2021 | Five-Year Review Report - Unemployment Insurance | 06/01/2022 |
| Statistical Bulletin March 2022 | Statistical Bulletin March 2022 | 06/01/2022 |
| Statistical Bulletin April 2022 | Statistical Bulletin April 2022 | 06/01/2022 |
| 30th Month March 2022 | 30th Month Financial Report FY 2022 through March 2022 | 04/28/2022 |
| Statistical Bulletin June 2021 | Statistical Bulletin June 2021 | 04/12/2022 |
| Statistical Bulletin November 2020 | Statistical Bulletin November 2020 | 04/11/2022 |
| Statistical Bulletin September 2021 | Statistical Bulletin September 2021 | 04/11/2022 |
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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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