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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 |
|---|---|---|
| EAP-1006A-S | LIHEAP Portable Fuel Certification (Spanish) | 11/01/2023 |
| DDD-2076A | DDD Health Plan Care Management Referral (English) | 11/01/2023 |
| DDD-2249A-S | Age 6 Redetermination Packet (Spanish) | 11/01/2023 |
| DDD-2250A-S | Age 18 Redetermination Packet (Spanish) | 11/01/2023 |
| UB-106-T-I | Completion Instructions for Approved Training Continued Claim, UB-106-T (English) | 11/01/2023 |
| DDD-2249A | Age 6 Redetermination Packet (English) | 11/01/2023 |
| RRP-1017A-S | Program Participants Application for Recertification (Spanish) | 11/01/2023 |
| UB-106-T-I-S | Completion Instructions for Approved Training Continued Claim, UB-106-T (Spanish) | 11/01/2023 |
| UIB-1266A-S | Tips for Completing Your Work Search Requirements (Spanish) | 11/01/2023 |
| RRP-1018A-S | Client Employment & Income Attestation Form (Spanish) | 11/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-0004A | Accident, Illness or Injury Report (Eng/Span) | 12/01/2022 |
| EAP-1004A | Applicant Statement of Tribal LIHEAP Denial (English) | 12/01/2022 |
| CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
| DDD-0522A | DDD Intake Record (English) | 12/01/2022 |
| DDD-1542A | Assisted Living Center Occupancy (English) | 12/01/2022 |
| AAA-1402A | Conflict of Interest Statement | 12/01/2022 |
| DDD-1542A-S | Assisted Living Center Occupancy (Spanish) | 12/01/2022 |
| CCA-0036A | Permission to Give Medication | 12/01/2022 |
| EAP-1004A-S | Applicant Statement of Tribal LIHEAP Denial (Spanish) | 12/01/2022 |
| CCA-0036A-S | Permiso para Administrar Medicamentos | 12/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| CSE-1313A | Child Support and Employers (Flyer) | 01/01/2020 |
| CSE-1246A | Child Support Services Overview | 01/01/2020 |
| AAA-1341A-S | Ayuda local de Medicare | 01/01/2020 |
| WIO-1114A | Second Chance Centers | 01/01/2020 |
| CSE-1246A-S | Visión General del Programa de Servicios de Sustento para Menores | 01/01/2020 |
| VR-1001A | Vocational Rehabilitation Roadmap | 01/01/2020 |
| VR-1001A-S | Camino al Éxito de Rehabilitación Vocacional | 01/01/2020 |
| CSE-1313A-S | Sustento para Menores y Empleadores (Volante) | 01/01/2020 |
| CSE-1312A-S | Sustento para Menores y Empleadores (Postal) | 01/01/2020 |
| FAA-1758A | FNS Certification Flyer (English/Spanish) | 01/01/2020 |
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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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