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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-2238A | Home Delivered Meal Service Referral Form (English) | 11/01/2023 |
| GCI-1094A | Early Intervention Contact Log (English) | 11/01/2023 |
| DDD-2255A | What to Do If You Have an Emergency (English/Spanish) | 11/01/2023 |
| EAP-1006A-S | LIHEAP Portable Fuel Certification (Spanish) | 11/01/2023 |
| DDD-2256A | Support Coordination (English/Spanish) | 11/01/2023 |
| GCI-1186A | Autism Screenings AzEIP Programmatic Meeting - October 2023 (English) | 11/01/2023 |
| GCI-1185A | Transition AzEIP Programmatic Meeting (English) | 11/01/2023 |
| DDD-2076A | DDD Health Plan Care Management Referral (English) | 11/01/2023 |
| Statistical Bulletin September 2023 | Statistical Bulletin September 2023 | 10/19/2023 |
| 30th Month June 2023 | 30th Month Financial Report FY 2023 through June 2023 | 10/05/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1021A-S | Unpaid Co-payment Worksheet (Spanish) | 10/01/2022 |
| LCR-1054A | Initial Application Worksheet | 10/01/2022 |
| CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
| LCR-1005A | Notice of Inspection Rights (English) | 10/01/2022 |
| GCI-1147A | Records Request Response (AzEIP) | 10/01/2022 |
| DDD-1991A-S | DDD Eligibility Checklist (Spanish) | 10/01/2022 |
| CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
| CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
| DDD-1991A | DDD Eligibility Checklist (English) | 10/01/2022 |
| LCR-1005A-S | Notice of Inspection Rights (Spanish) | 10/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| PAU-592 | Data Disclosure Information and Fee Schedule | 04/01/2018 |
| DDD-1896A | Employment Services: Do You Want To Work? | 03/01/2018 |
| DDD-1896A-S | Servicios de Empleo de la DDD: ¿Desea Trabajar? | 03/01/2018 |
| PAD-465-C | Definitions for AHCCCS Members | 01/01/2018 |
| HRP-1024A | SNAP Information Brochure | 11/01/2017 |
| HRP-1044A | CSFP Information Brochure | 11/01/2017 |
| DDD-1836A | Safety Information Fact Sheet #6 | 06/01/2017 |
| GCI-1102A | AzEIP Child and Family Outcomes- Accessible | 06/01/2017 |
| GCI-1102A-S | Evaluaciones de los Resultados de los Niños y las Familias - Accessible | 06/01/2017 |
| DDD-1807ACRD | Volunteer with a Human Rights Committee (Card) | 03/01/2017 |
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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