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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-2244A | DDD Eligibility for Children Birth to Three Years (English/Spanish) | 02/01/2024 |
| LCR-1023A-S | Life-Safety Inspection Report (Spanish) | 02/01/2024 |
| DDD-2200A | Parents as Paid Providers (English/Spanish) | 02/01/2024 |
| HRP-1023A | The Emergency food Assistance Program (English/Spanish) | 02/01/2024 |
| HRP-1037A-S | Commodity Senior Food Program (CSFP) Recertification Notice (Spanish) | 02/01/2024 |
| DCAD-1004A | Self-Employment Income Statement (English) | 02/01/2024 |
| GCI-1089A | AzEIP Incident Report (English) | 02/01/2024 |
| DCAD-1004A-S | Self-Employment Income Statement (Spanish) | 02/01/2024 |
| UB-105 | Arizona Initial Claim for Unemployment Insurance (English) | 02/01/2024 |
| AAA-1059A | Conflict of Interest Statement (English) | 02/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| UIB-1263A-S | Request for Overpayment Waiver (Spanish) | 04/01/2023 |
| DDD-1742E | Metabolic Low Protein Foods Ordering Form Vendor - Cambrooke Foods (English) | 04/01/2023 |
| LCR-1051A | Permission for Transfer of Record (English) | 04/01/2023 |
| LCR-1051A-S | Permission for Transfer of Record (Spanish) | 04/01/2023 |
| DDD-1693A | Prevention and Support New Instructor Clinic Packet (English) | 04/01/2023 |
| DDD-2176A-S | Residency Agreement (Spanish) | 03/01/2023 |
| LCR-1064A | Statement of Understanding-Application for HCBS Certification | 03/01/2023 |
| CCA-1312A | Provider/Parent/Guardian's Agreement for Non-DES Child Care Charges | 03/01/2023 |
| LCR-1064A-S | Declaración de Entendimiento Solicitud de Certificación para HCBS | 03/01/2023 |
| CCA-1311A | Arizona Education Workforce Scholarship Program Application (English) | 03/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-2073A | Long Term Care / Home and Community Based Services Claims Submission Guide | 09/01/2020 |
| WIO-1121A | Connecting Business with Job Seekers | 08/01/2020 |
| ESA-1357A | Migrant and Seasonal Farmworker (MSFW) Recall Program | 08/01/2020 |
| PPP-1122B | Limited English Proficiency (LEP) Flyer | 08/01/2020 |
| PPP-1122A | Limited English Proficiency (LEP) Poster (English) | 08/01/2020 |
| WIO-1086A | Connecting People and Jobs | 07/01/2020 |
| POX-248 -Arabic | Americans with Disabilities Act Notice (Arabic) | 07/01/2020 |
| POX-248 - Swahili | Americans with Disabilities Act Notice (Swahili) | 07/01/2020 |
| POX-248 - kinyarwanda | Americans with Disabilities Act Notice (Kinyarwanda) | 07/01/2020 |
| POX-248A- Arabic | Americans with Disabilities Act Grievance Notice - Lobby (Arabic) | 07/01/2020 |
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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