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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-1410A-LP | Grant Diversion Script and Applicant Agreement (Large Print) | 07/01/2023 |
| FAA-1513A-SLP | Consejos para Ahorrar Tiempo (Letra Grande) | 07/01/2023 |
| FAA-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
| CCA-0208A | Provider/Parent/Guardian's Agreement for Child Care Charges (English) | 07/01/2023 |
| FAA-1410A-SLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Grande) | 07/01/2023 |
| FAA-1513A-SXLP | Consejos para Ahorrar Tiempo (Letra Extra Grande) | 07/01/2023 |
| FAA-1415A | Illegal Drug Use Statement (English) | 07/01/2023 |
| CCA-0208A-S | Provider/Parent/Guardian's Agreement for Child Care Charges (Spanish) | 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 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-0024A | Employment and Wage Verification Statement (English) | 11/01/2021 |
| CCA-1235A | CCA Change Report | 11/01/2021 |
| CCA-1235A-S | CCA Informe de Cambios | 11/01/2021 |
| CCA-1186A | Authority to Release Information | 11/01/2021 |
| GCI-1098A | AzEIP Public Awareness Materials Order Form | 11/01/2021 |
| CCA-0041A | Fair Hearing Request | 11/01/2021 |
| CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
| CCA-0044A | Verification of Shelter Case Plan (English) | 11/01/2021 |
| CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
| DDD-1661A | DDD Tribal Health Program (THP) Equipment and Supplies Prior Authorization | 10/01/2021 |
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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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