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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 |
|---|---|---|
| GCI-1107A-S | Inclusion for ALL Children (Spanish) | 12/01/2023 |
| UIT-0603A (FY18-23) | Unemployment Insurance Tax Rates for Previous Years (English) | 12/01/2023 |
| FAA-1097A | Foster Care Age Out Referral Form (English) | 12/01/2023 |
| FAA-1097B | Foster Care Age Out Tribal Referral Form (English) | 12/01/2023 |
| UIB-1240A | A Guide to Arizona UI Benefits (English) | 12/01/2023 |
| UIB-1240A-S | A Guide to Arizona UI Benefits (Spanish) | 12/01/2023 |
| AzEIP-TAB-12012023 | Informed Written Consent on the Individualized Family Service Plan (IFSP) Technical Assistance Bulletin - 12/01/2023 | 12/01/2023 |
| GCI-1154A | AzEIP Cover Sheet - DDD Application for Eligibility Determination | 12/01/2023 |
| UIT-0603A (FY2024) | Unemployment Insurance Tax Rate Chart - FY 2024 (English) | 12/01/2023 |
| UIT-1275A | Tips for Navigating the UI Tax Phone System (English) | 12/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1312A | Provider/Parent/Guardian's Agreement for Non-DES Child Care Charges | 03/01/2023 |
| LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers (English) | 02/01/2023 |
| LCR-1084A-S | Application for Renewal or Amended HCBS Certificate for Independent Providers (Spanish) | 02/01/2023 |
| DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
| FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
| DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
| DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
| DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
| DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
| DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| SNA-1060C | Supplemental Nutrition Assistance -Employment and training Program | 12/01/2020 |
| CSE-1051A | How to Apply for IV-D Child Support Services (English) | 11/01/2020 |
| CSE-1051A-S | How to Apply for IV-D Child Support Services (Spanish) | 11/01/2020 |
| VR-1005A | Arizona Employer Toolkit | 10/01/2020 |
| CCA-0626A | Non-Certified Relative Child Care Provider | 10/01/2020 |
| CCA-0626A-S | Parientes como Proveedores No Certificados de Cuidado de Niños | 10/01/2020 |
| DDD-2082A | Report Suspected Abuse, Neglect or Exploitation | 09/01/2020 |
| DDD-2082A-S | Reportando Sospechas de Abuso, Negligencia, o Explotación | 09/01/2020 |
| DDD-2073A | Long Term Care / Home and Community Based Services Claims Submission Guide | 09/01/2020 |
| PPP-1122A | Limited English Proficiency (LEP) Poster (English) | 08/01/2020 |
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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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