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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 |
|---|---|---|
| DDD-2238A | Home Delivered Meal Service Referral Form (English) | 11/01/2023 |
| DDD-2255A | What to Do If You Have an Emergency (English/Spanish) | 11/01/2023 |
| EAP-1006A-S | LIHEAP Portable Fuel Certification (Spanish) | 11/01/2023 |
| DDD-2256A | Support Coordination (English/Spanish) | 11/01/2023 |
| UB-106-T-I | Completion Instructions for Approved Training Continued Claim, UB-106-T (English) | 11/01/2023 |
| Statistical Bulletin September 2023 | Statistical Bulletin September 2023 | 10/19/2023 |
| 30th Month June 2023 | 30th Month Financial Report FY 2023 through June 2023 | 10/05/2023 |
| Tribal Consultation Report 2023 | Tribal Consultation Report 2023 | 10/05/2023 |
| 30th Month August 2023 | 30th Month Financial Report FY 2024 through August 2023 | 10/03/2023 |
| RRP-1015A | Statement of Understanding | 10/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
| LCR-1054A | Initial Application Worksheet | 10/01/2022 |
| DDD-1991A-S | DDD Eligibility Checklist (Spanish) | 10/01/2022 |
| DDD-1991A | DDD Eligibility Checklist (English) | 10/01/2022 |
| LCR-1005A | Notice of Inspection Rights (English) | 10/01/2022 |
| GCI-1147A | Records Request Response (AzEIP) | 10/01/2022 |
| CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
| LCR-1005A-S | Notice of Inspection Rights (Spanish) | 10/01/2022 |
| CCA-1021A | Unpaid Co-payment Worksheet (English) | 10/01/2022 |
| CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
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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