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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 |
|---|---|---|
| FAA-1494A | Authorized Representative Removal (English) | 05/01/2023 |
| GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
| DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
| CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
| AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
| FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
| FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
| FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
| FAA-1506A | Statement of No Income (English) | 05/01/2023 |
| DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| RSA-1367A-SLP | Derechos de Apelación (Letra Grande) | 06/01/2019 |
| CCA-1259A | DES Certified Home-Based Child-Care Provider Pre Application (English) | 06/01/2019 |
| DDD-1403F | Job Search Agreement - Individual Supported Employment Services (English) | 05/01/2019 |
| CCA-1264A | Application Completeness Review Checklist | 05/01/2019 |
| DDD-1404E | Employment Support Aide Agreement (English) | 05/01/2019 |
| SNA-1046A | Monthly Work Activity Report | 05/01/2019 |
| CCA-1262A | Home Inspection Checklist | 05/01/2019 |
| SNA-1046A-S | Informe Mensual de Actividades Laborales (Monthly Work Activity Report) | 05/01/2019 |
| DDD-1403E | Job Coach Agreement Individual Supported Employment Services (English) | 05/01/2019 |
| FNS-252-2 | Application for Meal Services (English) | 04/01/2019 |
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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