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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 |
|---|---|---|
| LCR-1041A | Voluntary Withdrawal of Application for Licensure or Voluntary Closure of License (English) | 07/01/2023 |
| LCR-1041A-S | Voluntary Withdrawal of Application for Licensure or Voluntary Closure of License (Spanish) | 07/01/2023 |
| PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
| DDD-1783A | Habilitation Outcome Strategies (English) | 07/01/2023 |
| DDD-1783A-S | Habilitation Outcome Strategies (Spanish) | 07/01/2023 |
| LCR-1028A | Agency Roster of Employees (English) | 07/01/2023 |
| DDD-1713A | DDD Customer Service Center (English) | 06/01/2023 |
| DBS-1085A | AZ ABLE Booklet (English) | 06/01/2023 |
| DDD-1713A-S | DDD Customer Service Center (Spanish) | 06/01/2023 |
| DBS-1085A-S | AZ ABLE Booklet (Spanish) | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-1747A-S | Assisted Living Facility (ALF) Residential Facility (Spanish) | 10/01/2022 |
| LCR-1054A-S | Initial Application Worksheet (Spanish) | 10/01/2022 |
| LCR-1005A | Notice of Inspection Rights (English) | 10/01/2022 |
| DDD-1991A | DDD Eligibility Checklist (English) | 10/01/2022 |
| LCR-1054A | Initial Application Worksheet (English) | 10/01/2022 |
| LCR-1005A-S | Notice of Inspection Rights (Spanish) | 10/01/2022 |
| LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
| DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
| DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
| DDD-2149A | Authorization to Release Records | 08/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| 30th Month April 2022 | 30th Month Financial Report FY 2022 through April 2022 | 06/02/2022 |
| Statistical Bulletin March 2022 | Statistical Bulletin March 2022 | 06/01/2022 |
| Statistical Bulletin April 2022 | Statistical Bulletin April 2022 | 06/01/2022 |
| 6AAC3-5YRR-2021 | Five-Year Review Report - Unemployment Insurance | 06/01/2022 |
| 30th Month March 2022 | 30th Month Financial Report FY 2022 through March 2022 | 04/28/2022 |
| Statistical Bulletin June 2021 | Statistical Bulletin June 2021 | 04/12/2022 |
| Statistical Bulletin September 2021 | Statistical Bulletin September 2021 | 04/11/2022 |
| Statistical Bulletin March 2021 | Statistical Bulletin March 2021 | 04/11/2022 |
| Statistical Bulletin August 2020 | Statistical Bulletin August 2020 | 04/11/2022 |
| Statistical Bulletin December 2021 | Statistical Bulletin December 2021 | 04/11/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1045A-XLP | How to Use Your Arizona EBT Card - Extra Large Print (English) | 05/01/2024 |
| DDD-2285A | Services While Traveling Out of State (English) | 05/01/2024 |
| FAA-1814A-S | Customer Informational Packet (Spanish) | 05/01/2024 |
| DDD-2292A-S | Decision-Making for Adults (Spanish) | 05/01/2024 |
| DES-1139A-S | Services Provided by DES (Spanish) | 05/01/2024 |
| FAA-1853A-S | Nutrition Assistance Programs for Eligible Participants - Black/White (Spanish) | 05/01/2024 |
| GCI-1224A | AzEIP OnBase Manual (English) | 05/01/2024 |
| DDD-2285A-S | Services While Traveling Out of State (Spanish) | 05/01/2024 |
| FAA-1814A | Customer Informational Packet (English) | 05/01/2024 |
| GCI-1157C | Instructions for Completing the Record Review Report/Prior Written Notice (English) | 05/01/2024 |
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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