Main menu
- About DES
- Services
- Basic Needs
- Adult Protective Services
- Food Assistance
- Nutrition Assistance
- How to Apply for Nutrition Assistance
- Frequently Asked Questions
- Change Report for Nutrition, Cash, and Medical Assistance Benefits
- Electronic Benefits Transfer (EBT) Card
- Health-e-Arizona Plus Application
- Publications for Nutrition, Cash, and Medical Assistance Benefits
- Work Requirements for Able-Bodied Adults Without Dependents
- Double Up Food Bucks
- Student Eligibility for SNAP
- How to Support Health in your Home
- Hunger Relief Programs
- Other Food Programs
- Information for DES Partners
- Other Resources
- Appeals
- Contact DES
- Customer Bill of Rights
- Limited English Proficiency
- Office of Program Evaluation
- USDA Programs Nondiscrimination Statements
- Nutrition Assistance
- Medical Assistance
- Refugee Resettlement
- Shelter and Housing
- Domestic Violence Support
- Sexual Violence Support
- Child and Family
- Disabilities
- Older Adults
- Employment
- Job Seekers
- Reentry Services
- Employer Resources
- Apprenticeship
- Unemployment - Individual
- Apply for UI Benefits
- File Your Weekly UI Claims
- ID.me Identity Verification
- Overpayments
- Reemployment Services and Eligibility Assessment (RESEA)
- Disaster Unemployment Assistance
- Pandemic Unemployment Assistance
- ARIZONA@WORK Employment Resources
- Income Tax Information
- Eligibility for Unemployment Benefits
- Work Search and Your Eligibility for Unemployment Benefits
- How Do I and Frequently Asked Questions
- Forms & Pamphlets
- Contact Arizona UI
- UI Benefit Fraud
- How To File An Appeal For UI Benefits
- UI Data Dashboard
- Working with a Disability
- Employment Service/Related Law Complaint
- Unemployment - Employer
- Applying for an Unemployment Insurance Tax Account Number
- Report Changes to Your Business
- Reporting Wages and Paying Unemployment Insurance Taxes
- Employment Taxes - Calculating Unemployment Taxes
- Unemployment Insurance Tax Forms
- Unemployment Insurance Tax Frequently Asked Questions
- Request UI Records
- Employer Handbook/ Unemployment Tax
- Employer Handbook/ Unemployment Benefit Claims
- AZ Unemployment Insurance Tax Survey
- Contact the Unemployment Tax Office
- Arizona Shared Work Program
- Senior Community Service Employment Program
- Veterans
- Workforce Innovation and Opportunity Act (WIOA)
- Arizona State Monitor Advocate
- Basic Needs
- How do I?
- Do Business with DES?
- Request a Vendor Meeting
- Frequently Asked Questions
- Learn about HIPAA?
- Request Assistance?
- Request DES Records?
- Submit Website Feedback?
- Work for DES?
- ADA Disability Rights/Reasonable Accommodations
- Volunteer?
- File a Discrimination Complaint
- Report Developmental Disabilities Fraud, Waste and Abuse
- Documents Center
- Media Center
- Office Locator
- Report Fraud
×
Error message
- An illegal choice has been detected. Please contact the site administrator.
- An illegal choice has been detected. Please contact the site administrator.
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 |
|---|---|---|
| CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
| CCA-1211B | Attachment to Request for Search of Background Checks (CCA-1211A) Disqualifying Acts (English) | 04/01/2021 |
| CCA-1211B-S | Attachment to Request for Search of Background Checks (CCA-1211A-S) Disqualifying Acts (Spanish) | 04/01/2021 |
| CCA-1212A | Direct Service Position (Certification form) (English) | 07/01/2021 |
| CCA-1212A-S | Direct Service Position (Certification form) (Spanish) | 07/01/2021 |
| CCA-1224A | Fast Pass DCS Referral (English) | 03/01/2024 |
| CCA-1227A | Maximum Reimbursement Rates for Child Care (English) | 08/01/2024 |
| CCA-1227A-S | Maximum Reimbursement Rates for Child Care (Spanish) | 08/01/2024 |
| CCA-1228A | Direct Service Position (Certification Form) (English) | 12/01/2016 |
| CCA-1234A | Family Child Care Home Backup Provider Backup, Discipline, and Transportation Agreement | 04/01/2021 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1234A | Family Child Care Home Backup Provider Backup, Discipline, and Transportation Agreement | 04/01/2021 |
| CCA-1234A-S | Proveedor Suplente de Cuidado de Niños en el Hogar Acuerdo de Suplente, Disciplina y Transporte | 04/01/2021 |
| CCA-1235A | CCA Change Report (English) | 11/01/2021 |
| CCA-1235A-S | CCA Change Report (Spanish) | 11/01/2021 |
| CCA-1264A | Application Completeness Review Checklist | 05/01/2019 |
| CCA-1269A-S | Declaración Jurada del Proveedor de Cuidado de Niños en el Hogar (FCC) Registrado | 08/01/2020 |
| CCA-1271A | Service Consent Form (English) | 06/01/2022 |
| CCA-1271A-S | Service Consent Form (Spanish) | 06/01/2022 |
| CCA-1272A | AZ STEPS Parent Acknowledgement | 09/01/2020 |
| CCA-1272A-S | Reconocimiento de los padres de AZ STEPS | 09/01/2020 |
| Number | Document Name | Effective Date |
|---|---|---|
| 30th Month February 2020 | 30th Month Financial Report FY 2020 through February 2020 | 04/23/2020 |
| 30th Month February 2021 | 30th Month Financial Report FY 2021 through February 2021 | 03/29/2021 |
| 30th Month February 2022 | 30th Month Financial Report FY 2022 through February 2022 | 03/29/2022 |
| 30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
| 30th Month February 2024 | 30th Month Financial Report FY 2024 through February 2024 | 04/02/2024 |
| 30th Month Jan 2019 | 30th Month Financial Report FY 2019 through Jan 2019 | 03/21/2019 |
| 30th Month Jan-2015 | 30th Month Report January Fiscal Year 2015 | 02/27/2015 |
| 30th Month Jan-2016 | 30th Month Report January Fiscal Year 2016 | 03/10/2016 |
| 30th Month Jan-2017 | 30th Month Report January Fiscal Year 2017 | 03/14/2017 |
| 30th Month Jan-2018 | 30th Month Financial Report FY-2018 through Jan-2018 | 03/16/2018 |
No results available.
No results available.
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
© Copyright 2025 DES