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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-1857A-S | Residential Services and Treatment Services Option Comparison (Spanish) | 08/01/2024 |
| DDD-1821A | Qualified Vendor Ready to Provide Services (English) | 08/01/2024 |
| OIG-1008A | Request to Voluntarily Withdraw from an Appeal - DCAD (English) | 08/01/2024 |
| OIG-1009A | Request to Voluntarily Withdraw from an Appeal - DBME (English) | 08/01/2024 |
| OEO-1009A | Title VI/ADA Non Discrimination Notice to the Public (English / Spanish) | 08/01/2024 |
| CCA-1196A | Potential Overpayment Referral (English) | 08/01/2024 |
| CCA-0001A | Application for Child Care Assistance (English) | 08/01/2024 |
| RSA-1365A-S | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA (Spanish) | 08/01/2024 |
| GCI-1218A | Eligibility AzEIP Programmatic Meeting-June 2024 | 08/01/2024 |
| VR-1009A-S | Vocational Rehabilitation Client Handbook (Spanish) | 08/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| RRP-1015A-Rohingya (Latin) | Statement of Understanding (Rohingya (Latin)) | 08/01/2023 |
| UC-522-FF | Adjustment Report (English) | 08/01/2023 |
| APS-1032A-S | Authorization to Release Non-HIPAA Information Form (Spanish) | 08/01/2023 |
| RRP-1015A-Russian | Statement of Understanding (Russian) | 08/01/2023 |
| CSE-1163A | Employer Address Information | 08/01/2023 |
| RRP-1015A-S | Statement of Understanding (Spanish) | 08/01/2023 |
| DDD-1426A | Request for Incontinence Briefs for Members Ages 3 and Above (English) | 08/01/2023 |
| RRP-1015A-Swahili | Statement of Understanding (Swahili) | 08/01/2023 |
| J-119 | Data Sharing Request/Agreement (Single Division) (English) | 08/01/2023 |
| RRP-1015A-French | Statement of Understanding (French) | 08/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
| CSE-1061A-S | Establishing Paternity (Spanish) | 05/01/2023 |
| DDD-2177A | Getting the Most from Your Pharmacy Benefits (English/Spanish) | 04/01/2023 |
| CCA-1313A | Child Care Assistance for Full-Time Students | 04/01/2023 |
| ESA-1332A-S | Work Opportunity Tax Credit (Spanish) | 04/01/2023 |
| ESA-1332A | Work Opportunity Tax Credit (English) | 04/01/2023 |
| WIO-1130A | Migrant and Seasonal Farmworker Resources Wallet Card | 04/01/2023 |
| EAP-1008A | Housing and Utility Assistance Programs (English) | 04/01/2023 |
| WIO-1130A-S | Tarjeta de bolsillo con Recursos para Trabajadores Agrícolas Migrantes y de Temporada | 04/01/2023 |
| SNA-1075A | Need Help Finding A Job | 04/01/2023 |
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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