You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
CCA-1271A | Service Consent Form (English) | 06/01/2022 |
CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
CCA-1271A-S | Service Consent Form (Spanish) | 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-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
CCA-0048A | Non-Certified Relative Provider Billing Report | 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-0100A | Provider's Child Care Operational Information | 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-S | Encuesta de reclamante fiscal | 06/01/2023 |
CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
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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