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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 |
|---|---|---|
| HRP-1065A | Written Notice of Beneficiary Rights (English) | 10/01/2024 |
| FAA-0001A-S | Application for Benefits (Spanish) | 10/01/2024 |
| DES-1254A-S | DES Programs and Services List (Spanish) | 10/01/2024 |
| FAA-0053A | Verification of New/Current Employment (English) | 10/01/2024 |
| FAA-0412A-XLP | Change Report - Extra Large Print (English) | 10/01/2024 |
| FAA-1847A-LP | Electronic Benefit Theft Replacement Request Form - Large Print (English) | 10/01/2024 |
| FAA-1874A-S | Change Reporting Education (Spanish) | 10/01/2024 |
| DVS-1008B | Faith Based Support for Victims (50+) Bookmark (English) | 10/01/2024 |
| FAA-1821A | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application (English) | 10/01/2024 |
| FAA-0412A-LP | Change Report - Large Print (English) | 10/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-0228A-S | Self-Employment Monthly Budget Record (Spanish) | 08/01/2024 |
| CCA-1227A | Maximum Reimbursement Rates for Child Care (English) | 08/01/2024 |
| RSA-1484A | Pre-Employment Transition Services Request Form Checklist (English/Spanish) | 08/01/2024 |
| DDD-1986A-S | PRC Contact Information (Spanish) | 08/01/2024 |
| CCA-0228A | Self-Employment Monthly Budget Record (English) | 08/01/2024 |
| CCA-1227A-S | Maximum Reimbursement Rates for Child Care (Spanish) | 08/01/2024 |
| CCA-1328A | Potential Provider Overpayment Referral (English) | 08/01/2024 |
| DDD-1987A | Agreement of Behavior Plan (English) | 08/01/2024 |
| RSA-1365A-S | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA (Spanish) | 08/01/2024 |
| CCA-1196A | Potential Overpayment Referral (English) | 08/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| Rehabilitation Council Annual Report 2021 | Governor's State Rehabilitation Council 2021 Annual Report | 01/04/2022 |
| Annual Report 2020-2021 | 2020-2021 DES Annual Report | 12/31/2021 |
| Annual Report on Homelessness 2021 | Annual Report on Homelessness 2021 | 12/30/2021 |
| 2021 Homeless Lottery Funds Report | 2021 Homeless Lottery Funds Report | 12/30/2021 |
| 30th Month November 2021 | 30th Month Financial Report FY 2022 through November 2021 | 12/27/2021 |
| DV Monies Report 2021 | Domestic Violence Monies Report 2021 (English) | 12/17/2021 |
| DVSF2021 | Domestic Violence Shelter Fund Report for SFY 2021 | 12/17/2021 |
| Tribal Consultation Report 2021 | Tribal Consultation Report 2021 | 12/14/2021 |
| 30th Month October 2021 | 30th Month Financial Report FY 2022 through October 2021 | 11/30/2021 |
| 30th Month June 2021 | 30th Month Financial Report FY 2021 through June 2021 | 10/27/2021 |
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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