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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-1492A | Authorized Representatives - Rights & Responsibilities (English) | 07/01/2023 |
| CCA-1197A-S | Plan de Preparación y Respuesta en Caso de una Emergencia para los Proveedores de Hogar Certificado para el Cuidado de Niños | 07/01/2023 |
| FAA-1410A-XLP | Grant Diversion Script and Applicant Agreement (Extra Large Print) | 07/01/2023 |
| PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
| FAA-1714A-S | Mid Approval Contact - Lobby (Spanish) | 07/01/2023 |
| CCA-1198A-S | Acuse de Recibo y Entendimiento | 07/01/2023 |
| FAA-1410A-SXLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Extra Grande) | 07/01/2023 |
| FAA-1513A-LP | Time Savings Tips (Large Print) | 07/01/2023 |
| FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
| FAA-1415A-LP | Illegal Drug Use Statement - Large Print (English) | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| UB-194-FF | Employer Verification or Requalifying Earnings | 04/01/2022 |
| ESA-1303A | Job Order | 04/01/2022 |
| HRP-1005B | TEFAP Monthly Inventory and Participation Report (MIPR) Instructions | 02/01/2022 |
| HRP-1014A-S | Denuncia y Queja de los Derechos Civiles de USDA | 02/01/2022 |
| HRP-1003A | Commodity Disposal Report (CDR) | 02/01/2022 |
| HRP-1007A | Commodity Transfer Report | 02/01/2022 |
| HRP-1014A | USDA Civil Rights Complaint and Grievance | 02/01/2022 |
| UIA-1043A | Registration for State Information Data Exchange System (SIDES) E-Response (English) | 01/01/2022 |
| DDD-2113A | DDD-EVV Member Contingency / IP Model Back-up Plan (English) | 01/01/2022 |
| DDD-2113A-S | DDD-EVV Member Contingency / IP Model Back-up Plan (Spanish) | 01/01/2022 |
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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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