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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.
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| Number | Document Name | Effective Date |
|---|---|---|
| DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
| CCA-1294A | Provider Registration Agreement Tutorial (English) | 09/01/2021 |
| CCA-1294A-S | Provider Registration Agreement Tutorial (Spanish) | 09/01/2021 |
| CCA-0041A | Fair Hearing Request | 11/01/2021 |
| CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
| CCA-1199A | Emergency Preparedness & Response Planning (English) | 04/01/2022 |
| CCA-1199A-S | Emergency Preparedness & Response Planning (Spanish) | 04/01/2022 |
| CCA-1211A | Request for Search of Background Checks (English) | 05/01/2022 |
| CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
| CCA-1207A-S | Aviso Sobre Derechos de Monitorización - Verificación de Divulgación | 06/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1207A-S | Aviso Sobre Derechos de Monitorización - Verificación de Divulgación | 06/01/2022 |
| CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
| CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
| CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
| CCA-1021A | Unpaid Co-payment Worksheet (English) | 10/01/2022 |
| CCA-1021A-S | Unpaid Co-payment Worksheet (Spanish) | 10/01/2022 |
| CC-214-A | Relative Child Care Provider Rate Agreement | 11/01/2022 |
| CC-214-A-S | Acuerdo de Tarifa para Parientes Proveedores de Cuidado de Niños | 11/01/2022 |
| CCA-1200A-S | About Me Questionnaire (Spanish) | 11/01/2022 |
| CCA-1200A | About Me Questionnaire (English) | 11/01/2022 |
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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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