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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-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
| CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
| CCA-1061A | A Message for My Child Care Specialist | 11/01/2017 |
| CCA-1061A-S | Un Mensaje para mi Especialista en Cuidado de Niños | 11/01/2017 |
| CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
| CCA-1105A-S | Encuesta de reclamante fiscal | 06/01/2023 |
| CCA-1116A | Child Care Assistance Priority Waiting List Income Table (English) | 10/01/2024 |
| CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
| CCA-1161A | Self-Sufficiency Statement | 09/01/2018 |
| CCA-1161A-S | Declaración de Autosuficiencia | 09/01/2018 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1161A-S | Declaración de Autosuficiencia | 09/01/2018 |
| CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care (English) | 07/01/2023 |
| CCA-1176A-S | Parent/Guardian Affidavit of Non-Compensated Child Care (Spanish) | 07/01/2023 |
| CCA-1186A | Authority to Release Information | 11/01/2021 |
| CCA-1190A | Tribal New Child Care Referral | 07/01/2023 |
| CCA-1196A | Potential Overpayment Referral (English) | 08/01/2024 |
| CCA-1197A | Emergency Preparedness and Response Plan for Certified Family Child Care Providers | 07/01/2023 |
| 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-1200A | About Me Questionnaire (English) | 11/01/2022 |
| CCA-1200A-S | About Me Questionnaire (Spanish) | 11/01/2022 |
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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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