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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 |
|---|---|---|
| CCA-1197A-S | Plan de Preparación y Respuesta en Caso de una Emergencia para los Proveedores de Hogar Certificado para el Cuidado de Niños | 07/01/2023 |
| CCA-0208A | Provider/Parent/Guardian's Agreement for Child Care Charges (English) | 07/01/2023 |
| CCA-0208A-S | Provider/Parent/Guardian's Agreement for Child Care Charges (Spanish) | 07/01/2023 |
| CCA-1190A | Tribal New Child Care Referral | 07/01/2023 |
| CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
| CCA-1105A-S | Encuesta de reclamante fiscal | 06/01/2023 |
| CCA-1313A | Child Care Assistance for Full-Time Students | 04/01/2023 |
| CCA-1313A-S | Ayuda para el Cuidado de Niños a Estudiantes de Tiempo Completo | 04/01/2023 |
| CCA-0227A | Self-Employment Monthly Income Log | 03/01/2023 |
| CCA-0227A-S | Registro Mensual de Ingresos por Cuenta Propia | 03/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
| CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
| CCA-1021A | Unpaid Co-payment Worksheet (English) | 10/01/2022 |
| CCA-1021A-S | Unpaid Co-payment Worksheet (Spanish) | 10/01/2022 |
| CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
| 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-1271A | Service Consent Form (English) | 06/01/2022 |
| CCA-1271A-S | Service Consent Form (Spanish) | 06/01/2022 |
| CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
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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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