You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
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FAA-1506A | Statement of No Income (English) | 05/01/2023 |
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DDD-1678A | Home Modifications Service Assessment (English) | 05/01/2023 |
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DDD-1622A | Home Modification Requests Support Coordinator’s (SC) Checklist (English) | 05/01/2023 |
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FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
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GCI-1033A | Transition Conference Summary | 05/01/2023 |
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CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
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FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
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FAA-0412A-XLP | Change Report - Extra Large Print (English) | 05/01/2023 |
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FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 05/01/2023 |
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FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
LCR-1025A-S | Application for Initial HCBS Certification (Spanish) | 09/01/2020 |
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CCA-1272A | AZ STEPS Parent Acknowledgement | 09/01/2020 |
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CCA-1272A-S | Reconocimiento de los padres de AZ STEPS | 09/01/2020 |
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WIO-1031A | Training Program Credential Checklist (English) | 09/01/2020 |
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J-020 | Discrimination Complaint- Clients, Applicants and Contractors (English) | 08/01/2020 |
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J-020-S | Discrimination Complaint- Clients, Applicants and Contractors (Spanish) | 08/01/2020 |
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J-020-SLP | Discrimination Complaint - Clients, Applicants and Contractors - Large Print (Spanish) | 08/01/2020 |
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CCA-1269A | Sworn Statement by the Registered Family Child Care (FCC) Provider | 08/01/2020 |
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GCI-1083A | Consent for Child Assessment | 08/01/2020 |
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GCI-1083AS | Consentimiento para la Evaluación del Niño | 08/01/2020 |
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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