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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 |
|---|---|---|
| CCA-0039A | Medical Statement (English) | 12/01/2022 |
| CCA-0039A-S | Medical Statement (Spanish) | 12/01/2022 |
| CCA-0223A | Non-Certified Relative Provider (NCRP) Requirements (English/Spanish) | 09/01/2022 |
| CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
| CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
| CCA-1216A | Notice to All Families Enrolled at DES Child Care Facility (English/Spanish) | 02/01/2023 |
| CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care (English) | 07/01/2023 |
| CCA-1176A-S | Parent/Guardian Affidavit of Non-Compensated Child Care (Spanish) | 07/01/2023 |
| CCA-0036A | Permission to Give Medication (English) | 12/01/2022 |
| CCA-0036A-S | Permission to Give Medication (Spanish) | 12/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-0224A | Tribal CPS Child Care Referral / To: Child Care Administration (English) | 03/01/2024 |
| CCA-1190A | Tribal New Child Care Referral | 07/01/2023 |
| CCA-1021A | Unpaid Co-payment Worksheet (English) | 10/01/2022 |
| CCA-1021A-S | Unpaid Co-payment Worksheet (Spanish) | 10/01/2022 |
| CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
| CCA-0225A | Verification of Unable\Unavailable Status (English) | 03/01/2024 |
| CCA-1170A | Withdrawal or Termination Request for Child Care Providers (English) | 05/01/2023 |
| CCA-1170AS | Withdrawal or Termination Request for Child Care Providers (Spanish) | 05/01/2023 |
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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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