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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 |
|---|---|---|
| VR-12.1 | 12.1 Transportation Services | 06/30/2023 |
| 30th Month May 2023 | 30th Month Financial Report FY 2023 through May 2023 | 06/28/2023 |
| Statistical Bulletin May 2023 | Statistical Bulletin May 2023 | 06/22/2023 |
| FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
| FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
| FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
| FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
| FAA-1440A-S | Cash Assistance Benefit Limit Extension Request (Spanish) | 06/01/2023 |
| FAA-0155B | Determination of Primary Wage Earner (PWE) | 06/01/2023 |
| FAA-0155B-S | Determinación de Principal Devengador(a) de Ingresos (PWE por sus siglas en inglés) | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| ESA-1338A | Language Line Translation Services Utilized | 03/01/2021 |
| DDD-1530A-SLP | Managed Risk Agreement Services and/or Placement -Large Print (Spanish) | 03/01/2021 |
| UB-010 | Eligibility Review Questionnaire (English) | 02/01/2021 |
| UB-010-S | Eligibility Review Questionnaire (Spanish) | 02/01/2021 |
| FAA-1796A | Affidavit of Visually Viewed Documentation | 02/01/2021 |
| RSA-1396A | Secure Email Waiver | 02/01/2021 |
| RSA-1298A | Referral Form (English) | 02/01/2021 |
| RSA-1298A-S | Referral Form (Spanish) | 02/01/2021 |
| LCR-1087A | Child Developmental Certified Home Application Cover Page | 02/01/2021 |
| RSA-1298A-LP | Referral Form - Large Print (English) | 02/01/2021 |
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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