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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-1818A | Nutrition Assistance (NA) Medical Expense Deduction | 07/01/2023 |
| FAA-1714A-S | Mid Approval Contact - Lobby (Spanish) | 07/01/2023 |
| DDD-0308A | Individual Emergency Information - Residential | 07/01/2023 |
| LCR-1041A | Voluntary Withdrawal of Application for Licensure or Voluntary Closure of License | 07/01/2023 |
| CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care (English) | 07/01/2023 |
| CCA-1198A | Acknowledgement of Receipt and Understanding | 07/01/2023 |
| FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
| FAA-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
| LCR-1041A-S | Retiro Voluntario de la Solicitud de Licenciamiento o Cierre Voluntario de Licencia | 07/01/2023 |
| CCA-1176A-S | Parent/Guardian Affidavit of Non-Compensated Child Care (Spanish) | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| UIB-0098E | Eligibility Investigation Record - Education/School Bus Wages | 06/01/2021 |
| UIB-0098F | Job Offer Development, Referral, Eligibility Investigation Record | 06/01/2021 |
| DDD-2107A | What Works and What Doesn't Work Worksheet | 06/01/2021 |
| DDD-2106A | Member's Circles of Support | 06/01/2021 |
| DDD-2107A-S | Hoja de Trabajo Sobre lo que Funciona y lo que no Funciona | 06/01/2021 |
| UIB-0098C | Eligibility Investigation Record - WC ALT. Base Period | 06/01/2021 |
| DDD-2106A-S | Círculos de Apoyo del Miembro | 06/01/2021 |
| UIB-0098K | Eligibility Investigation Record - Transient Lodging Seasonal Employment | 06/01/2021 |
| UIB-0098M | Record of Employment | 06/01/2021 |
| UIB-0098S | Training Certification and Eligibility Investigation Record | 06/01/2021 |
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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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