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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-1328A | Potential Provider Overpayment Referral (English) | 08/01/2024 |
| DDD-1857A-S | Residential Services and Treatment Services Option Comparison (Spanish) | 08/01/2024 |
| CCA-0229A-FY25 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2025 (English/Spanish) | 08/01/2024 |
| CCA-0228A-S | Self-Employment Monthly Budget Record (Spanish) | 08/01/2024 |
| DDD-1986A | PRC Contact Information (English) | 08/01/2024 |
| CCA-0001A | Application for Child Care Assistance (English) | 08/01/2024 |
| GCI-1173A | AzEIP I-TEAMS Manual (English) | 08/01/2024 |
| CCA-0228A | Self-Employment Monthly Budget Record (English) | 08/01/2024 |
| VR-1009A-LP | Vocational Rehabilitation Client Handbook - Large Print (English) | 08/01/2024 |
| OIG-1008A | Request to Voluntarily Withdraw from an Appeal - DCAD (English) | 08/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| RRP-1018A | Client Employment & Income Attestation Form (English) | 11/01/2023 |
| EAP-1006A-S | LIHEAP Portable Fuel Certification (Spanish) | 11/01/2023 |
| GCI-1094A | Early Intervention Contact Log (English) | 11/01/2023 |
| RRP-1017A-S | Program Participants Application for Recertification (Spanish) | 11/01/2023 |
| RRP-1018A-S | Client Employment & Income Attestation Form (Spanish) | 11/01/2023 |
| DDD-2076A | DDD Health Plan Care Management Referral (English) | 11/01/2023 |
| UB-106-T-I | Completion Instructions for Approved Training Continued Claim, UB-106-T (English) | 11/01/2023 |
| UB-106-T-I-S | Completion Instructions for Approved Training Continued Claim, UB-106-T (Spanish) | 11/01/2023 |
| UB-106A-S | Weekly Claim for Unemployment Insurance (UI) Benefits (Spanish) | 10/01/2023 |
| AG-119 | Nutritional Health Screening Tool (English) | 10/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| Statistical Bulletin March 2020 | Statistical Bulletin March 2020 | 04/15/2020 |
| Statistical Bulletin February 2020 | Statistical Bulletin February 2020 | 03/31/2020 |
| 30th Month January 2020 | 30th Month Financial Report FY 2020 through January 2020 | 03/19/2020 |
| SFMNP-WIC-FMNP | Seniors Farmer's Market Nutrition Program (SFMNP) and the WIC Farmer's Market Nutrition (FMNP) Program Policy and Procedure Manual | 03/03/2020 |
| Statistical Bulletin January 2020 | Statistical Bulletin January 2020 | 02/28/2020 |
| 30th Month December 2019 | 30th Month Financial Report FY 2019 through December 2019 | 02/14/2020 |
| Statistical Bulletin December 2019 | Statistical Bulletin December 2019 | 02/04/2020 |
| 6AAC14 | Five-Year Review Report - Food Stamps Program | 02/04/2020 |
| 30th Month November 2019 | 30th Month Financial Report FY 2019 through November 2019 | 01/07/2020 |
| 2019 Homeless Lottery Funds Report | 2019 Homeless Lottery Funds Report | 01/06/2020 |
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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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