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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.
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| Number | Document Name | Effective Date |
|---|---|---|
| FAA-0574A-S | Withdrawal or Stop Benefits/Appeal Request (Spanish) | 05/01/2023 |
| FAA-0255A | Separate Household Status Statement | 05/01/2023 |
| DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
| FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
| CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
| AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
| GCI-1032A | IFSP Transition Meeting Invitation Prior Written Notice | 05/01/2023 |
| FAA-1494A-XLP | Authorized Representative Removal - Extra Large Print (English) | 05/01/2023 |
| DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
| CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| AAA-1254A | Ombudsman De-Designation Recommendation | 09/01/2014 |
| CSE-1091A | Notification of Change of Address (English/Spanish) | 10/01/2013 |
| DES-1071A | Language Identification - I Speak (LEP Binder Materials) | 10/01/2012 |
| AG-031-N | Social Service Report and Instructions for Non-Registered Services | 08/01/2012 |
| UB-101-B-FFS | Afirmación del Plan de Acción para Búsqueda de Trabajo | 11/01/2011 |
| GCI-1049AS | No Contact Letter (Spanish) | 08/01/2011 |
| AAA-1163A | Ombudsman Case | 04/01/2011 |
| AAA-1188A | Long Term Care Ombudsman Manual | 03/23/2011 |
| GCI-1097A | AzEIP Quarterly Progress Report (English) | 10/01/2010 |
| AAA-1190A | Volunteer Reference Check (English) | 09/01/2010 |
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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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