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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 |
|---|---|---|
| GCI-1224A | AzEIP OnBase Manual (English) | 05/01/2024 |
| ESA-1322A | Hilton Honors Military Program (English) | 05/01/2024 |
| GCI-1157A-S | Record Review Report / Prior Written Notice (Spanish) | 05/01/2024 |
| GCI-1131A | Indicator 1: Timely Provision of Services Child File Review Form and Guidance (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 |
| 30th Month February 2024 | 30th Month Financial Report FY 2024 through February 2024 | 04/02/2024 |
| 6AAC1-5YRR-2023 | Five-Year Review Report - Department of Economic Security | 04/02/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1768A | Overpayment Compromise Request Form (English) | 05/01/2023 |
| FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (English) | 05/01/2023 |
| FAA-1506A | Statement of No Income (English) | 05/01/2023 |
| CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
| FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
| GCI-1033A-S | Resumen de la Conferencia de Transición | 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 |
| CCA-1170A | Withdrawal or Termination Request for Child Care Providers (English) | 05/01/2023 |
| FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| VR-1028A | Youth Seeking Subminimum Wage Employment Frequently Asked Questions (English) | 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 |
| WIC Outreach | Arizona WIC Outreach State Flyer | 10/01/2021 |
| DDD-2025A | DDD Tribal Health Program Fee-for-Service Claims Submission Guide (English) | 10/01/2021 |
| DES-1222A | Recognize, Report and Prevent Abuse, Neglect, and Exploitation (English) | 10/01/2021 |
| Guía de Referencia de WIC | Guía de Referencia de WIC de Arizona | 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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