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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.
- You can click on the column headers to sort the search results.
| Number | Document Name | Effective Date |
|---|---|---|
| EAP-1006A | LIHEAP Portable Fuel Certification (English) | 11/01/2023 |
| DDD-2256A | Support Coordination (English/Spanish) | 11/01/2023 |
| DDD-2250A-S | Age 18 Redetermination Packet (Spanish) | 11/01/2023 |
| RRP-1017A-S | Program Participants Application for Recertification (Spanish) | 11/01/2023 |
| UB-106-T-I | Completion Instructions for Approved Training Continued Claim, UB-106-T (English) | 11/01/2023 |
| RRP-1018A-S | Client Employment & Income Attestation Form (Spanish) | 11/01/2023 |
| UB-106-T-I-S | Completion Instructions for Approved Training Continued Claim, UB-106-T (Spanish) | 11/01/2023 |
| DDD-2252A | What is Employment First? (English/Spanish) | 11/01/2023 |
| RRP-1017A | Program Participants Application for Recertification (English) | 11/01/2023 |
| DDD-2076A | DDD Health Plan Care Management Referral (English) | 11/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-1991A-S | DDD Eligibility Checklist (Spanish) | 10/01/2022 |
| CCA-1021A-S | Unpaid Co-payment Worksheet (Spanish) | 10/01/2022 |
| DDD-1991A | DDD Eligibility Checklist (English) | 10/01/2022 |
| GCI-1147A | Records Request Response (AzEIP) | 10/01/2022 |
| CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
| CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
| CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
| DDD-1747A-S | Assisted Living Facility (ALF) Residential Facility (Spanish) | 10/01/2022 |
| LCR-1054A | Initial Application Worksheet (English) | 10/01/2022 |
| LCR-1005A | Notice of Inspection Rights (English) | 10/01/2022 |
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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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