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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.
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| Number | Document Name | Effective Date |
|---|---|---|
| GCI-1157B-S | Record Review Report (Spanish) | 05/01/2024 |
| EAP-1002A-S | LIHEAP Application (Spanish) | 05/01/2024 |
| EAP-1002A | LIHEAP Application (English) | 05/01/2024 |
| GCI-1139A | Indicator 8C: Transition Conference Child File Review Form and Guidance (English) | 05/01/2024 |
| Statistical Bulletin March 2024 | Statistical Bulletin March 2024 | 04/25/2024 |
| VR-3.1 | 3.1 Referral, Orientation, Intake Interview and Application | 04/08/2024 |
| SSBG Plan 2024-2025 | Draft - SSBG Plan 2024-2025 | 04/05/2024 |
| AzEIP-TAB-04042024 | AzEIP Cover Sheet for DDD Application for Eligibility Determination Technical Assistance Bulletin | 04/04/2024 |
| 30th Month February 2024 | 30th Month Financial Report FY 2024 through February 2024 | 04/02/2024 |
| 6AAC1-5YRR-2023 | Five-Year Review Report - Department of Economic Security | 04/02/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
| FAA-0060A | Authority to Release Student Information (English) | 05/01/2023 |
| DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
| CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
| FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
| FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
| DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
| CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
| FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
| FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| Tribal Consultation Report 2016 | Tribal Consultation Report 2016 | 09/08/2016 |
| FY2018-Budget | Fiscal Year 2018 DES Budget Request | 09/01/2016 |
| Statistical Bulletin July 2016 | Statistical Bulletin July 2016 | 08/16/2016 |
| 30th Month May-2016 | 30th Month Report May Fiscal Year 2016 | 08/01/2016 |
| Statistical Bulletin June 2016 | Statistical Bulletin June 2016 | 07/14/2016 |
| SSBG Plan 2016-2017 | Social Services Block Grant Plan 2016-2017 | 07/01/2016 |
| Statistical Bulletin May 2016 | Statistical Bulletin May 2016 | 06/10/2016 |
| 30th Month Apr-2016 | 30th Month Report April Fiscal Year 2016 | 06/09/2016 |
| 30th Month Mar-2016 | 30th Month Report March Fiscal Year 2016 | 06/07/2016 |
| SNA State Plan 2016 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2016 | 06/01/2016 |
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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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