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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 |
|---|---|---|
| CCA-0208A-S | Provider/Parent/Guardian's Agreement for Child Care Charges (Spanish) | 07/01/2023 |
| GCI-1148A-S | Directory of Early Intervention Programs (Spanish) | 07/01/2023 |
| FAA-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
| CCA-1197A | Emergency Preparedness and Response Plan for Certified Family Child Care Providers (English) | 07/01/2023 |
| FAA-0620C | Treatment Center Monthly Roster | 07/01/2023 |
| LCR-1041A-S | Voluntary Withdrawal of Application for Licensure or Voluntary Closure of License (Spanish) | 07/01/2023 |
| FAA-1642A | Continued Child Support Services (English/Spanish) | 07/01/2023 |
| PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
| FAA-0620D | Supplemental Pages for the Treatment Center Monthly Roster | 07/01/2023 |
| FAA-1415A | Illegal Drug Use Statement (English) | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| UIA-1069A-S | Solicitud de Compensación por Desempleo de Asalariados Mixtos | 04/01/2021 |
| DDD-2093A | DDD Behavioral Health Advocate Referral (English) | 03/01/2021 |
| DDD-2092A | DDD Behavioral Health Advocacy Plan | 03/01/2021 |
| DDD-2092A-S | Plan de Defensa de la Salud Conductual de la DDD | 03/01/2021 |
| ESA-1338A | Language Line Translation Services Utilized (English) | 03/01/2021 |
| DDD-1530A-SLP | Managed Risk Agreement Services and/or Placement - Large Print (Spanish) | 03/01/2021 |
| DDD-2090A | Program Integrity Requirements Verification | 03/01/2021 |
| FAA-1796A | Affidavit of Visually Viewed Documentation | 02/01/2021 |
| RSA-1298A | Referral Form (English) | 02/01/2021 |
| RSA-1298A-S | Referral Form (Spanish) | 02/01/2021 |
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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