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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-0039A | Medical Statement (English) | 12/01/2022 |
| DDD-1542A-S | Assisted Living Center Occupancy (Spanish) | 12/01/2022 |
| CCA-0039A-S | Medical Statement (Spanish) | 12/01/2022 |
| DDD-1541A | ALTCS Enrollment Transition Information (ETI) (English) | 12/01/2022 |
| CAP-1001A | Community Action Service Providers | 12/01/2022 |
| CAP-1001A-S | Servicios de Acción Comunitaria | 12/01/2022 |
| AAA-1402A | Conflict of Interest Statement | 12/01/2022 |
| LCR-1000A | Agency Compliance Audit Checklist (English) | 12/01/2022 |
| UIT-1271A | A Guide to Unemployment Insurance Tax and Benefits (English) | 12/01/2022 |
| LCR-1000C | Corrective Action Plan (Agency) (English) | 12/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| GCI-1101A | Reversal/Void Invoice Line Item Request | 10/01/2016 |
| DDD-1469A | Spouse Attendant Care Acknowledgment of Understanding (English) | 10/01/2016 |
| DDD-1469A-S | Spouse Attendant Care Acknowledgment of Understanding (Spanish) | 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-BP3500 | BEP Adherence to Policy Report | 06/07/2015 |
| RSA-BP3502 | BEP Operator Communication Information Sheet | 06/07/2015 |
| RSA-BP3509 | Daily Checkout Sheet | 06/07/2015 |
| RSA-BP3510 | Responsible Inventory | 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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