You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
CCA-1271A | Service Consent Form (English) | 06/01/2022 |
CCA-1271A-S | Service Consent Form (Spanish) | 06/01/2022 |
CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
CCA-1207A-S | Aviso Sobre Derechos de Monitorización - Verificación de Divulgación | 06/01/2022 |
CCA-0223A | Non-Certified Relative Provider (NCRP) Requirements (English/Spanish) | 09/01/2022 |
CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
CCA-1021A | Unpaid Co-payment Worksheet (English) | 10/01/2022 |
CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
CCA-1021A-S | Unpaid Co-payment Worksheet (Spanish) | 10/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
CCA-0100A-S | Información de las Operaciones de un Proveedor de Cuidado de Niños | 01/01/2023 |
CCA-1312A | Provider/Parent/Guardian's Agreement for Non-DES Child Care Charges | 03/01/2023 |
CCA-1311A | Arizona Education Workforce Scholarship Program Application (English) | 03/01/2023 |
CCA-1311A-S | Arizona Education Workforce Scholarship Program Application (Spanish) | 03/01/2023 |
CCA-1312A-S | Acuerdo del Proveedor/Padre/Madre/Tutor Acerca de los Costos de Cuidado de Niños No Cubiertos por el DES | 03/01/2023 |
CCA-0227A | Self-Employment Monthly Income Log | 03/01/2023 |
CCA-0227A-S | Registro Mensual de Ingresos por Cuenta Propia | 03/01/2023 |
CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
CCA-1105A-S | Encuesta de reclamante fiscal | 06/01/2023 |
CCA-1190A | Tribal New Child Care Referral | 07/01/2023 |
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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