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Download | Number | Form Name | Effective Date |
---|---|---|---|
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GCI-1037A-S | Agencia de Educación Pública (PEA por sus siglas en inglés) Notificación o Recomendación | 01/01/2019 |
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GCI-1020A | Authorization to Disclose Protected Health Information | 08/01/2011 |
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GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 08/01/2011 |
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GCI-1074A | AzEIP AHCCCS Member Service Request | 01/01/2014 |
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GCI-1098A | AzEIP Public Awareness Materials Order Form | 06/01/2019 |
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GCI-1097A | AzEIP Quarterly Progress Report | 10/01/2010 |
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GCI-1112A | AzEIP Transfer File Checklist | 03/01/2019 |
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GCI-1103A | AZEIP Waiver Request | 11/01/2015 |
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GCI-1088A | Child and Family Assessment Guide for Families | 04/01/2016 |
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GCI-1088B | Child and Family Assessment Guide for Families (Accessible) | 04/01/2016 |
Download | Number | Form Name | Effective Date |
---|---|---|---|
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Annual Report on Homelessness 2004 | 13th Annual Report on Homelessness December 2004 | 12/01/2004 |
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Annual Report on Homelessness 2005 | 14th Annual Report on Homelessness December 2005 | 12/01/2005 |
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Annual Report on Homelessness 2006 | 15th Annual Report on Homelessness December 2006 | 12/01/2006 |
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Annual Report on Homelessness 2007 | 16th Annual Report on Homelessness December 2007 | 12/01/2007 |
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Annual Report on Homelessness 2008 | 17th Annual Report on Homelessness December 2008 | 12/01/2008 |
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Annual Report on Homelessness 2009 | 18th Annual Report on Homelessness December 2009 | 12/01/2009 |
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Annual Report on Homelessness 2010 | 19th Annual Report on Homelessness December 2010 | 12/31/2010 |
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Annual Report 2000-2001 | 2000-2001 DES Annual Report | 01/18/2002 |
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Annual Report 2001-2002 | 2001-2002 DES Annual Report | 12/31/2002 |
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Annual Report 2002-2003 | 2002-2003 DES Annual Report | 02/02/2004 |
Download | Number | Form Name | Effective Date |
---|---|---|---|
|
DES 1-01-12 | Americans with Disabilities Act (ADA) Title II | 03/15/2013 |
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CCA Emergency & Disaster Preparedness Plan | Child Care Administration Emergency and Disaster Preparedness Plan | 09/30/2019 |
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DES 1-01-14-01 | Director's Office of Equal Opportunity Procedures: Client Complaint Process | 02/24/2017 |
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WIO-1064A | Joint Guidance for Limitations on Use of Subminimum Wage | 07/26/2017 |
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DES 1-01-12S | Ley de Estadounidenses con Discapacidades - Título II | 03/15/2013 |
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DES 1-01-34 | Limited English Proficiency | 08/08/2014 |
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DES 1-01-14 | Office of Equal Opportunity: Client Complaints | 08/29/2016 |
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DES 1-01-12-01S | Procedimientos del Título II de la Ley de Estadounidenses con Discapacidades | 03/15/2013 |
|
TEFAP Policy and Procedure Manual | The Emergency Food Assistance Program Policy and Procedure Manual | 05/24/2017 |
|
DES_1-92-03 | Tribal Government Consultation | 10/06/2014 |
Download | Number | Form Name | Effective Date |
---|---|---|---|
|
PAD-465-B | Stuffer for PAD-465 -Change in Coverage of Emergency Dental Benefits | 10/01/2017 |
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GCI-1086A | A Family's Guide to Funding Early Intervention Services in Arizona | 04/01/2015 |
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AAA-1041A | A Guide for Caregivers | 10/01/2002 |
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UIB-1240A | A Guide to Arizona UI Benefits | 07/01/2019 |
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AAA-1283A | Adult Protective Services (APS) | 08/01/2018 |
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APS-1008A | Adult Protective Services Statutory Changes | 11/01/2019 |
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PAD-465D | ALTCS Member Handbook Insert (English/Spanish) | 05/01/2019 |
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DDD-2025A | American Indian Health Plan Fee-for-Service Claims Submission Guide | 07/01/2019 |
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POX-248 | Americans with Disabilities Act Notice | 01/01/2019 |
|
AD-475-A | And Justice for all | 01/01/2015 |
Download | Number |
Form Name |
Effective Date |
---|---|---|---|
|
GCI-1086A | A Family's Guide to Funding Early Intervention Services in Arizona | 04/01/2015 |
|
GCI-1037A-S | Agencia de Educación Pública (PEA por sus siglas en inglés) Notificación o Recomendación | 01/01/2019 |
|
GCI-1007A | Arizona Early Intervention Program (AzEIP) | 07/01/2018 |
|
Application for Federal Funds FFY 2011 | Arizona's Part C FFY 2011 Application for Federal Funds | 07/01/2011 |
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Application for Federal Funds FFY 2012 | Arizona's Part C FFY 2012 Application for Federal Funds | 07/27/2012 |
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Application for Federal Funds FFY 2013 | Arizona's Part C FFY 2013 Application for Federal Funds | 08/15/2013 |
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Application for Federal Funds FFY 2016 | Arizona's Part C FFY 2016 Application for Federal Funds | 05/01/2017 |
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Application for Federal Funds FFY 2017 | Arizona's Part C FFY 2017 Application for Federal Funds | 05/01/2017 |
|
GCI-1020A | Authorization to Disclose Protected Health Information | 08/01/2011 |
|
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 08/01/2011 |
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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 accommodation based on language or disability should contact ADES’s Office of Equal Opportunity at [email protected]. Requests should be made as early as possible to ensure the State has an opportunity to address the accommodation.