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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 |
|---|---|---|
| CCA-1216A | Notice to All Families Enrolled at DES Child Care Facility (English/Spanish) | 02/01/2023 |
| ACF-218 QPR FFY2022 | Arizona Child Care and Development Block Grant (CCDBG) Quality Progress Report - FY 2022 | 12/29/2022 |
| CCA-0036A-S | Permission to Give Medication (Spanish) | 12/01/2022 |
| CCA-0039A | Medical Statement (English) | 12/01/2022 |
| CCA-0039A-S | Medical Statement (Spanish) | 12/01/2022 |
| CCA-0004A | Accident, Illness or Injury Report (Eng/Span) | 12/01/2022 |
| CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
| CCA-0036A | Permission to Give Medication (English) | 12/01/2022 |
| CCA-1200A-S | About Me Questionnaire (Spanish) | 11/01/2022 |
| CCA-1200A | About Me Questionnaire (English) | 11/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1199A-S | Emergency Preparedness & Response Planning (Spanish) | 04/01/2022 |
| CCA-0041A | Fair Hearing Request | 11/01/2021 |
| CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
| DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
| CCA-1212A | Direct Service Position (Certification form) (English) | 07/01/2021 |
| CCA-1212A-S | Direct Service Position (Certification form) (Spanish) | 07/01/2021 |
| CCA-1276A-S | Action Plan (Spanish) | 06/01/2021 |
| CCA-1276A | Action Plan (English) | 06/01/2021 |
| CCA-1287A-S | Registro de Simulacros de Evacuación de Emergencia | 05/01/2021 |
| CCA-1211B | Attachment to Request for Search of Background Checks (CCA-1211A) Disqualifying Acts (English) | 04/01/2021 |
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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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