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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CCA-1294A | Provider Registration Agreement Tutorial (English) | 09/01/2021 |
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CCA-1101A-S | Proveedores de Cuidado de Niños en Arizona | 09/01/2022 |
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CCA-1234A-S | Proveedor Suplente de Cuidado de Niños en el Hogar Acuerdo de Suplente, Disciplina y Transporte | 04/01/2021 |
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CCA-1197A-S | Plan de Preparación y Respuesta en Caso de una Emergencia para los Proveedores de Hogar Certificado para el Cuidado de Niños | 07/01/2023 |
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CCA-1170AS | Petición para el Retiro o Terminación de Solicitud - Para Proveedores de Cuidado de Niños | 05/01/2023 |
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CCA-0036A | Permission to Give Medication | 12/01/2022 |
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CCA-0036A-S | Permiso para Administrar Medicamentos | 12/01/2022 |
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CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care | 07/01/2023 |
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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 |
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CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
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CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
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CCA-0039A-S | Medical Statement (Spanish) | 12/01/2022 |
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CCA-0039A | Medical Statement (English) | 12/01/2022 |
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CCA-1227A-S | Maximum Reimbursement Rates for Child Care (Spanish) | 04/01/2023 |
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CCA-1227A | Maximum Reimbursement Rates for Child Care (English) | 04/01/2023 |
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CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
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CCA-1175A | Landlord Permission to Provide Family Child Care Service | 05/01/2023 |
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CCA-1141A-S | Inscripción con Depósito Directo para Proveedores o Parientes Autorizados Por el DES | 05/01/2018 |
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CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
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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