You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
DDD-0465A | Arizona Long Term Care System (ALTCS) Member Handbook (English) | 10/01/2024 |
FAA-1874A-S | Change Reporting Education (Spanish) | 10/01/2024 |
FAA-1493A-LP | Authorized Representative Request - Large Print (English) | 10/01/2024 |
FAA-1760A | Changes - What You Need to Know (English) (Poster) | 10/01/2024 |
FAA-1821A-SLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Large Print (Spanish) | 10/01/2024 |
GCI-1021P-S | Individualized Family Service Plan with PCSP Supplement (Spanish) | 10/01/2024 |
FAA-1821A-XLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Extra Large Print (English) | 10/01/2024 |
FAA-1858A-S | Able-Bodied Adults Without Dependents (ABAWD) Changes (Spanish) | 10/01/2024 |
GCI-1021P | Individualized Family Service Plan with PCSP Supplement (English) | 10/01/2024 |
FAA-1874A | Change Reporting Education (English) | 10/01/2024 |
Number | Document Name | Effective Date |
---|---|---|
UB-113 | Combined-Wage Claim Withdrawal (English) | 07/01/2024 |
WIO-1027A | WIOA Title IB Applicant Statement (English) | 07/01/2024 |
J-930-A-LP | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) - Large Print (English) | 07/01/2024 |
GCI-1040A | Consent to Share Early Intervention Records and Information (English) | 07/01/2024 |
UB-113-S | Combined-Wage Claim Withdrawal (Spanish) | 07/01/2024 |
WIO-1027A-S | WIOA Title IB Applicant Statement (Spanish) | 07/01/2024 |
OEO-1024A-LP | Title II Grievance Form - Large Print (English) | 07/01/2024 |
GCI-1207A | FFY 2022 Correction of Noncompliance Guidance (English) | 06/01/2024 |
EAP-1012A | Limited Authorization to Release Records Transfer of LIHEAP Application to Community Navigation Provider (English) | 06/01/2024 |
EAP-1012A-S | Limited Authorization to Release Records Transfer of LIHEAP Application to Community Navigation Provider (Spanish) | 06/01/2024 |
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