You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download |
Number |
Name | Effective Date |
---|---|---|---|
|
CCA-0626A | Non-Certified Relative Child Care Provider | 10/01/2020 |
|
CCA-0626A-S | Parientes como Proveedores No Certificados de Cuidado de Niños | 10/01/2020 |
|
CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
|
CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
|
CCA-1101A | Child Care Providers in Arizona | 09/01/2022 |
|
CCA-1101A-S | Proveedores de Cuidado de Niños en Arizona | 09/01/2022 |
|
CCA-1114A | Contractor Eligibility Verification | 04/01/2017 |
|
CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
|
CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
|
CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers | 05/01/2018 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1114A | Contractor Eligibility Verification | 04/01/2017 |
|
CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
|
CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
|
CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers | 05/01/2018 |
|
CCA-1141A-S | Inscripción con Depósito Directo para Proveedores o Parientes Autorizados Por el DES | 05/01/2018 |
|
CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
|
CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
|
CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
|
CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
|
CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
Stay up-to-date with news and updates delivered straight to your inbox
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