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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 |
|---|---|---|
| FAA-1765A | Authority to Release Information | 05/01/2023 |
| GCI-1037A | Public Education Agency (PEA) Notification/Referral | 05/01/2023 |
| FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
| CCA-0221A | Family Child Care Provider Statement of Services | 05/01/2023 |
| FAA-1494A-XLP | Authorized Representative Removal (Extra Large Print) | 05/01/2023 |
| GCI-1037A-S | Aviso o Recomendación de la Agencia de Educación Pública (PEA) | 05/01/2023 |
| FAA-1506A | Statement of No Income (English) | 05/01/2023 |
| CCA-0221A-S | Declaración de Servicios del Proveedor de Cuidado en Casa de Familia | 05/01/2023 |
| FAA-0620A | Treatment Center Change Report | 05/01/2023 |
| FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-0229A-FY21 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2021 (English/Spanish) | 07/01/2020 |
| CSE-1185A | Affidavit of Credible Person Identifying Affiant (English/Spanish) | 07/01/2020 |
| GCI-1042A | Family Survey | 07/01/2020 |
| GCI-1042A-S | Encuesta Familiar | 07/01/2020 |
| OEO-1011A | One-Stop Centers Monitoring Checklist for ADA Compliance | 07/01/2020 |
| RSA-1390A | Statement of Services Rendered | 07/01/2020 |
| GCI-1085A | Vision Screening Checklist | 07/01/2020 |
| J-930-A | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) (English) | 07/01/2020 |
| GCI-1085A-S | Lista de verificación para el examen de la visión | 07/01/2020 |
| SNA-1000A | Rights and Responsibilities (English) | 06/01/2020 |
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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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