You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0059A | Authority to Release Records | 06/01/2023 |
FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
DBS-1085B | AZ ABLE Card (English) | 06/01/2023 |
FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
FAA-1217A | Request for Verification of Godparent Specified Relative (English) | 06/01/2023 |
FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
DDD-2207A | Quick Reference Guide - AHCCCS Eligibility Redeterminations (English/Spanish) | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CSE-1016A | Waiver of Paternity Affidavit (English/Spanish) | 06/01/2020 |
SNA-1000A-S | Rights and Responsibilities (Spanish) | 06/01/2020 |
CSE-1314A | Child Supplemental Page (English / Spanish) | 06/01/2020 |
GCI-1118A | Arizona Early Intervention Program Non-DES Employee Training Planning and Tracking Form (English) | 06/01/2020 |
GCI-1119A | Standards of Practice Checklist (English) | 06/01/2020 |
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
GCI-1088A-S | Child and Family Assessment Guide for Families (Spanish) | 06/01/2020 |
AAA-1355A | APS Registry Employer Certification Form | 05/01/2020 |
GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
GCI-1039A | Consent to Obtain Information (English) | 05/01/2020 |
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