Arizona Department of Economic Security
Your Partner for a Stronger Arizona

AZ At Work Logo

Main menu

×

Error message

  • An illegal choice has been detected. Please contact the site administrator.
  • An illegal choice has been detected. Please contact the site administrator.

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

  1. 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. 
  2. 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. 
  3. You can click on the column headers to sort the search results.


Download Number
 		Name Effective Date
CCA-1227A-S Tarifas Máximas de Reembolso por Cuidado Infantil 11/01/2022
CCA-1227A Maximum Reimbursement Rates for Child Care 11/01/2022
CCA-1216A Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES 02/01/2023
CCA-1212A-S Puesto de Servicio Directo (Formulario de certificación) 07/01/2021
CCA-1212A Direct Service Position (Certification Form) 07/01/2021
CCA-1211B-S Adjunto de la Solicitud para Búsqueda de Verificación de Antecedentes (CCA-1211A-S) Leyes de Descalificación 04/01/2021
CCA-1211B Attachment to Request for Search of Background Checks (CCA-1211A) Disqualifying Acts 04/01/2021
CCA-1211A Request for Search of Background Checks 05/01/2022
CCA-1210B-S Acuerdo de Registro del Proveedor de Cuidado De Niños 04/01/2016
CCA-1210B Child Care Provider Registration Agreement 04/01/2016

Download Number Name Effective Date
CCA-1176AS Declaración Jurada del Padre o Tutor por Cuidado de Niños no Remunerado 02/01/2013
CCA-1176A Parent/Guardian Affidavit of Non-Compensated Child Care 02/01/2013
CCA-1175A Landlord Permission to Provide Family Child Care Service 12/01/2015
CCA-1175A Autorización Para Operar un Servicio de Cuidado de Niños 12/01/2015
CCA-1170AS Petición para el Retiro o Terminación de Solicitud - Para Proveedores de Cuidado de Niños 08/01/2012
CCA-1170A Withdrawal or Termination Request for Child Care Providers 08/01/2012
CCA-1164AS Affidávit de Exención de Vacunación - Para Menores Bajo Cuidado 09/01/2011
CCA-1164A Affidavit of Immunization Exemption - For Children in Care 09/01/2011
CCA-1163AS Afidávit de Exendión de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores 09/01/2011
CCA-1163A Affidavit of Immunization Exemption - For Household Members Age 13 and Younger 09/01/2011

No results available.

No results available.

No results available.

Back to Top