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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 |
|---|---|---|
| UIB-1263A | Request for Overpayment Waiver (English) | 04/01/2023 |
| DDD-2177A | Getting the Most from Your Pharmacy Benefits (English/Spanish) | 04/01/2023 |
| DDD-1659A | Agency With Choice: Partnership Agreement (English) | 04/01/2023 |
| UIB-1263A-S | Request for Overpayment Waiver (Spanish) | 04/01/2023 |
| GCI-1043A | Developmental Evaluation Report | 04/01/2023 |
| WIO-1130A | Migrant and Seasonal Farmworker Resources Wallet Card | 04/01/2023 |
| CCA-1175A | Landlord Permission to Provide Family Child Care Service (English) | 04/01/2023 |
| GCI-1161A-2 | Findings Letter AzEIP Programmatic Meeting | 04/01/2023 |
| DDD-1659A-S | Agency With Choice: Partnership Agreement (Spanish) | 04/01/2023 |
| LCR-1056A | Applicant Statement of Understanding for Child or Adult Developmental Home (English) | 04/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1141A-S | Direct Deposit Enrollment - DES Certified Homes/Relative Providers (Spanish) | 05/01/2018 |
| PPP-1063A-S | HIPAA Privacy Complaints (Spanish) | 05/01/2018 |
| PPP-1063A | HIPAA Privacy Complaints (English) | 05/01/2018 |
| DDD-1404C | Employment Support Aide - Quality Assurance Review | 05/01/2018 |
| DDD-1403B | Individual Supported Employment - Six Month Report | 05/01/2018 |
| UB-296 | Report of Illness or Physical Disability (English) | 05/01/2018 |
| UB-296-S | Report of Illness or Physical Disability (Spanish) | 05/01/2018 |
| ETA-081A | Supplement to Application for DUA Self-Employed Individuals | 04/01/2018 |
| LCR-1078A | OLCR Developmental Home Application Cover Page (English) | 04/01/2018 |
| UIT-1146A | Limited Power of Attorney (English) | 04/01/2018 |
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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