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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.
- You can click on the column headers to sort the search results.
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1724A | Application Signature Pages (English) | 07/01/2023 |
| FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
| FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
| FAA-1523A | Cash Programs Personal Responsibility Agreement (PRA) (English) | 06/01/2023 |
| FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
| FAA-1523A-S | Cash Programs Personal Responsibility Agreement (PRA) (Spanish) | 06/01/2023 |
| FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
| FAA-1439A-LP | Self-Employment Income Statement - Large Print (English) | 06/01/2023 |
| FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
| FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
| FAA-0059A | Authority to Release Records | 06/01/2023 |
| FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
| FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
| FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
| FAA-1523A | Cash Programs Personal Responsibility Agreement (PRA) (English) | 06/01/2023 |
| FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
| FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
| FAA-1523A-S | Cash Programs Personal Responsibility Agreement (PRA) (Spanish) | 06/01/2023 |
| FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| Statistical Bulletin December 2023 | Statistical Bulletin December 2023 | 01/17/2024 |
| 30th Month October 2023 | 30th Month Financial Report FY 2024 through October 2023 | 12/28/2023 |
| 30th Month November 2023 | 30th Month Financial Report FY 2024 through November 2023 | 12/28/2023 |
| 2022-2023 Annual Report | 2022-2023 DES Annual Report | 12/28/2023 |
| Rehabilitation Council Annual Report 2023 | Governor's State Rehabilitation Council 2023 Annual Report | 12/21/2023 |
| GCBVI 2023 | Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2023 | 12/21/2023 |
| Statistical Bulletin November 2023 | Statistical Bulletin November 2023 | 12/18/2023 |
| Statistical Bulletin October 2023 | Statistical Bulletin October 2023 | 11/27/2023 |
| 30th Month September 2023 | 30th Month Financial Report FY 2024 through September 2023 | 11/09/2023 |
| Statistical Bulletin September 2023 | Statistical Bulletin September 2023 | 10/19/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| AzEIP-TBEIS-Policy | AzEIP Team-Based Early Intervention Services (TBEIS) Policy Manual | 04/01/2022 |
| VR-1.4 | 1.4 Vocational Counseling and Guidance (VCG) | 03/31/2022 |
| VR-7.6 | 7.6 Client Purchase Agreement | 03/31/2022 |
| VR-2.9 | 2.9 Case Status | 03/31/2022 |
| DCAD-ACP | Address Confidentiality Program (ACP) Policy | 03/01/2022 |
| CCA-1-01-01-S | Suspension and Expulsion Prevention (Spanish) | 12/20/2021 |
| CCA-1-01-01 | Suspension and Expulsion Prevention (English) | 10/01/2021 |
| VR-2.10 | 2.10 Case Notes | 09/30/2021 |
| VR-10.2 | 10.2 On the Job Training (OJT) | 09/30/2021 |
| VR-8.5 | 8.5 Assessments: Psychology/Psychiatric/Mental Health | 03/31/2021 |
| Number | Document Name | Effective Date |
|---|---|---|
| CBC-1000A-S | Arizona Centralized Background Checks (CBC) - Individual User Guide (Spanish) | 09/01/2024 |
| DDD-2307A | Quick Reference Guide: Voter Registration (English/Spanish) | 09/01/2024 |
| DDD-2312A | Quick Reference Guide: AHCCCS Freedom to Work (English) | 09/01/2024 |
| GCI-1202A | Record Review Report/Prior Written Notice Technical Assistance Bulletin (English) | 09/01/2024 |
| DDD-2312A-S | Quick Reference Guide: AHCCCS Freedom to Work (Spanish) | 09/01/2024 |
| DDD-2313A | Quick Reference Guide: DDD Affordable Housing (English) | 09/01/2024 |
| DDD-2313A-S | Quick Reference Guide: DDD Affordable Housing (Spanish) | 09/01/2024 |
| CCA-1338A | Arizona Department of Economic Security Emergency and Disaster Preparedness Plan (English) | 09/01/2024 |
| ADE-1012A | House Bill 2137 Technical Assistance Bulletin September 2024 (English) | 09/01/2024 |
| GCI-1222A | Child Outcomes Summary AzEIP Programmatic Meeting-August 2024 (English) | 09/01/2024 |
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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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