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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 |
|---|---|---|
| OEO-1024A | Title II Grievance Form (English) | 05/01/2024 |
| CSE-1319A | AZCARES Employer Portal FAQs (English) | 05/01/2024 |
| GCI-1157A-S | Record Review Report / Prior Written Notice (Spanish) | 05/01/2024 |
| FAA-1814A | Customer Informational Packet (English) | 05/01/2024 |
| GCI-1133A | Indicator 7: 45-Day Timeline Child File Review Form and Guidance (English) | 05/01/2024 |
| GCI-1224A | AzEIP OnBase Manual (English) | 05/01/2024 |
| Statistical Bulletin March 2024 | Statistical Bulletin March 2024 | 04/25/2024 |
| VR-3.1 | 3.1 Referral, Orientation, Intake Interview and Application | 04/08/2024 |
| SSBG Plan 2024-2025 | Draft - SSBG Plan 2024-2025 | 04/05/2024 |
| AzEIP-TAB-04042024 | AzEIP Cover Sheet for DDD Application for Eligibility Determination Technical Assistance Bulletin | 04/04/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
| CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
| FAA-1768A-S | Overpayment Compromise Request Form (Spanish) | 05/01/2023 |
| FAA-0574A-SXLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (Spanish) | 05/01/2023 |
| GCI-1033A-S | Resumen de la Conferencia de Transición | 05/01/2023 |
| FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance (English) | 05/01/2023 |
| FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
| FAA-1494A-XLP | Authorized Representative Removal - Extra Large Print (English) | 05/01/2023 |
| DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
| CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DES-1235A-S | Caregiver Resource Guide (Spanish) | 11/01/2021 |
| DDD-0195B-S | DDD Member Rights and Responsibilities (Spanish) | 11/01/2021 |
| VR-1028A-S | Youth Seeking Subminimum Wage Employment Frequently Asked Questions (Spanish) | 11/01/2021 |
| Guía de Referencia de WIC | Guía de Referencia de WIC de Arizona | 10/01/2021 |
| WIC Outreach | Arizona WIC Outreach State Flyer | 10/01/2021 |
| DES-1222A | Recognize, Report and Prevent Abuse, Neglect, and Exploitation (English) | 10/01/2021 |
| DDD-2025A | DDD Tribal Health Program Fee-for-Service Claims Submission Guide (English) | 10/01/2021 |
| DES-1222A-S | Recognize, Report and Prevent Abuse, Neglect, and Exploitation (Spanish) | 10/01/2021 |
| CCA-1294A | Provider Registration Agreement Tutorial (English) | 09/01/2021 |
| ESA-1350A | Migrant and Seasonal Farmworkers (English/Spanish) | 09/01/2021 |
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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