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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 |
|---|---|---|
| DDD-0465A-S | Arizona Long Term Care System (ALTCS) Member Handbook (Spanish) | 10/01/2024 |
| FAA-0412A-LP | Change Report - Large Print (English) | 10/01/2024 |
| FAA-1847A-LP | Electronic Benefit Theft Replacement Request Form - Large Print (English) | 10/01/2024 |
| FAA-0053A | Verification of New/Current Employment (English) | 10/01/2024 |
| HRP-1065A | Written Notice of Beneficiary Rights (English) | 10/01/2024 |
| FAA-0412A | Change Report (English) | 10/01/2024 |
| FAA-0001C | Assistance Programs, What You Need To Know (English) | 10/01/2024 |
| FAA-1847A-SLP | Electronic Benefit Theft Replacement Request Form - Large Print (Spanish) | 10/01/2024 |
| FAA-1874A-S | Change Reporting Education (Spanish) | 10/01/2024 |
| FAA-1760A-S | Changes - What You Need to Know (Spanish) (Poster) | 10/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| CSE-1277A | Return Documents Form (English) | 09/01/2024 |
| ESA-1314B-S | Notification of Complaint to Employer (Spanish) | 09/01/2024 |
| CSE-1196A | Notification of Employment Termination (English) | 09/01/2024 |
| CSE-1160A | Request to Close Child Support Case (English/Spanish) | 09/01/2024 |
| FCT-1001A | Acknowledgment of Tribal Consultation Request (English) | 09/01/2024 |
| DDD-1551A | Medallion Program - Order Form (English) | 09/01/2024 |
| AAA-1218A | Arizona Family Caregiver Support Program (FCSP) Quarterly Summary Report (English) | 08/01/2024 |
| CCA-1196A | Potential Overpayment Referral (English) | 08/01/2024 |
| DDD-2310A | Notification of PRC Exit (English) | 08/01/2024 |
| OIG-1009A-S | Request to Voluntarily Withdraw from an Appeal - DBME (Spanish) | 08/01/2024 |
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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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