You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
GCI-1032A-S | Invitación a una Reunión de Transición del IFSP Notificación Previa por Escrito | 05/01/2023 |
CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
GCI-1037A | Public Education Agency (PEA) Notification/Referral (English) | 05/01/2023 |
FAA-1768A | Overpayment Compromise Request Form (English) | 05/01/2023 |
CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
FAA-1546A | Sponsor Deeming Information (English) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
DDD-1753A | Policy and Procedure Focused Review: Responsible Driving Tool/Transporting Members (English) | 03/01/2017 |
WIO-1057A | H-2B Foreign Labor SWA Job Order Form (English) | 02/01/2017 |
CCA-1228A | Direct Service Position (Certification Form) (English) | 12/01/2016 |
DDD-1469A | Spouse Attendant Care Acknowledgment of Understanding (English) | 10/01/2016 |
DDD-1469A-S | Spouse Attendant Care Acknowledgment of Understanding (Spanish) | 10/01/2016 |
GCI-1101A | Reversal/Void Invoice Line Item Request | 10/01/2016 |
HPZ-034-A | AZ Taxonomy of Human Services - Request for a New or Revised Program/Cluster/Service (English) | 10/01/2016 |
ESA-1297A | Assurances for Interstate and Interstate Clearance Orders | 05/01/2016 |
CCA-1210B | Child Care Provider Registration Agreement | 04/01/2016 |
CCA-1210B-S | Acuerdo de Registro del Proveedor de Cuidado De Niños | 04/01/2016 |
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