You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
DDD-2312A-S | Quick Reference Guide: AHCCCS Freedom to Work (Spanish) | 09/01/2024 |
DDD-2083A | Voluntary Withdrawal Form - Large Print (English) | 09/01/2024 |
FAA-1826A-SXLP | Nutrition Assistance Authorized Representative Request - Extra Large Print (Spanish) | 09/01/2024 |
DDD-2313A | Quick Reference Guide: DDD Affordable Housing (English) | 09/01/2024 |
FAA-1826A-S | Nutrition Assistance Authorized Representative Request (Spanish) | 09/01/2024 |
DDD-2313A-S | Quick Reference Guide: DDD Affordable Housing (Spanish) | 09/01/2024 |
FAA-1826A | Nutrition Assistance (NA) Authorized Representative Request (English) | 09/01/2024 |
CSE-1156A | Affidavit of Receipt of Direct Payments (English/Spanish) | 09/01/2024 |
GCI-1222A | Child Outcomes Summary AzEIP Programmatic Meeting-August 2024 (English) | 09/01/2024 |
GCI-1202A | Record Review Report/Prior Written Notice Technical Assistance Bulletin (English) | 09/01/2024 |
Number | Document Name | Effective Date |
---|---|---|
FAA-0001B-S | Application for Benefits Addendum (Spanish) | 01/01/2024 |
DDD-1709A | Readiness Review Checklist for Qualified Vendors (English) | 01/01/2024 |
FAA-1097A | Foster Care Age Out Referral Form (English) | 12/01/2023 |
GCI-1154A | AzEIP Cover Sheet - DDD Application for Eligibility Determination | 12/01/2023 |
WIO-1075A | Transfer of Funds Request Form (English) | 12/01/2023 |
FAA-1097B | Foster Care Age Out Tribal Referral Form (English) | 12/01/2023 |
UB-106-T-I | Completion Instructions for Approved Training Continued Claim, UB-106-T (English) | 11/01/2023 |
UB-106-T-I-S | Completion Instructions for Approved Training Continued Claim, UB-106-T (Spanish) | 11/01/2023 |
GCI-1094A | Early Intervention Contact Log (English) | 11/01/2023 |
RRP-1017A | Program Participants Application for Recertification (English) | 11/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
FAA-1492A | Authorized Representatives - Rights & Responsibilities (English) | 07/01/2023 |
FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
FAA-1492A-S | Authorized Representatives - Rights & Responsibilities (Spanish) | 07/01/2023 |
FAA-1642A | Continued Child Support Services (English/Spanish) | 07/01/2023 |
FAA-1513A-LP | Time Savings Tips (Large Print) | 07/01/2023 |
FAA-1513A-SLP | Consejos para Ahorrar Tiempo (Letra Grande) | 07/01/2023 |
FAA-1513A-SXLP | Consejos para Ahorrar Tiempo (Letra Extra Grande) | 07/01/2023 |
FAA-1513A | Time Saving Tips | 07/01/2023 |
FAA-1513A-S | Consejos para Ahorrar Tiempo | 07/01/2023 |
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