You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
OIG-1008A-S | Request to Voluntarily Withdraw from an Appeal - DCAD (Spanish) | 08/01/2024 |
RSA-1365A | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA (English) | 08/01/2024 |
DDD-1784A | Habilitation Progress Report (English) | 08/01/2024 |
RSA-1484A | Pre-Employment Transition Services Request Form Checklist (English/Spanish) | 08/01/2024 |
DDD-1986A-S | PRC Contact Information (Spanish) | 08/01/2024 |
DDD-2309A | Loss of Eligibility for Exception to PRC Review (English) | 08/01/2024 |
DDD-1987A | Agreement of Behavior Plan (English) | 08/01/2024 |
VR-1009A | Vocational Rehabilitation Client Handbook (English) | 08/01/2024 |
CBC-1009A | CBC Recheck Process (English) | 08/01/2024 |
DDD-1987A-S | Agreement of Behavior Plan (Spanish) | 08/01/2024 |
Number | Document Name | Effective Date |
---|---|---|
J-119 | Data Sharing Request/Agreement (Single Division) (English) | 08/01/2023 |
DDD-1426A | Request for Incontinence Briefs for Members Ages 3 and Above (English) | 08/01/2023 |
FAA-1125A | Tribal/FAA - Turn Around Document (TAD) (English) | 08/01/2023 |
RRP-1015A-French | Statement of Understanding (French) | 08/01/2023 |
RRP-1015A-Arabic | Statement of Understanding (Arabic) | 08/01/2023 |
RRP-1015A-Burmese | Statement of Understanding (Burmese) | 08/01/2023 |
RRP-1015A-Dari | Statement of Understanding (Dari) | 08/01/2023 |
DDD-2223A | RFQVA DDD-2024 Attestation of Policy Development Tool (English) | 08/01/2023 |
RRP-1015A-Farsi | Statement of Understanding (Farsi) | 08/01/2023 |
APS-1032A | Authorization to Release Non-HIPAA Information Form (English) | 08/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1788A | Proof of Eligibility Card (English) | 06/01/2023 |
FAA-1788A-S | Proof of Eligibility Card (Spanish) | 06/01/2023 |
FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2023 |
FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
FAA-0126A | Nutrition Assistance Frequently Asked Questions | 06/01/2023 |
DDD-1713A | DDD Customer Service Center (English) | 06/01/2023 |
AzEIP-TAB-05112023 | Transition Technical Assistance Bulletin (English) | 05/11/2023 |
AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
CSE-1061A | Establishing Paternity (English) | 05/01/2023 |
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