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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 |
|---|---|---|
| AAA-1351A | Non-Registered Quarterly Report | 10/01/2023 |
| RRP-1015A | Statement of Understanding | 10/01/2023 |
| AAA-1350A | Caregiver Registration Form | 10/01/2023 |
| AAA-1418A | Family Caregiver Support Program Reporting Matrix | 10/01/2023 |
| UB-106A | Weekly Claim for Unemployment Insurance (UI) Benefits (English) | 10/01/2023 |
| AG-119 | Nutritional Health Screening Tool (English) | 10/01/2023 |
| GCI-1184A-RA-PD | AzEIP TBEIS Billing Manual October 1, 2023 (English) | 10/01/2023 |
| UB-106A-S | Weekly Claim for Unemployment Insurance (UI) Benefits (Spanish) | 10/01/2023 |
| AG-119-S | Nutritional Health Screening Tool (Spanish) | 10/01/2023 |
| AAA-1182A | Arizona Nutrition, Food Service and Wellness Manual (English) | 10/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
| HRP-1040A | Annual USDA Commodity Food Service Application and Agreement Between Regional Food Bank and Distribution Site | 09/01/2022 |
| RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
| GCI-1096A | Individual Family Teaming Report | 09/01/2022 |
| UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
| UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
| DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
| ETA-83 | Weekly Request for Assistance | 09/01/2022 |
| CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
| DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
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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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