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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 |
|---|---|---|
| CSE-1225A | Caretakers Raising Children (English) | 02/01/2023 |
| CSE-1225A-S | Caretakers Raising Children (Spanish) | 02/01/2023 |
| DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
| DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
| LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers (English) | 02/01/2023 |
| DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
| CCA-1216A | Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES | 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 |
|---|---|---|
| CSE-1171A | Affidavit of Financial Information (English/Spanish) | 04/01/2018 |
| PAU-592 | Data Disclosure Information and Fee Schedule | 04/01/2018 |
| LCR-1078A | OLCR Developmental Home Application Cover Page (English) | 04/01/2018 |
| WIO-1079A | WIOA Pre-Approval Questionnaire for Equipment and Vehicles Over $5,000 (English) | 04/01/2018 |
| LCR-1080A | Licensing Investigation Template | 04/01/2018 |
| LCR-1080B | Licensing Investigation Procedural Tool | 04/01/2018 |
| DDD-1401A | Center Based Employment - Quarterly Report (English) | 04/01/2018 |
| DDD-281 | Adult Developmental Home Agreement (English) | 04/01/2018 |
| UIT-1146A | Limited Power of Attorney (English) | 04/01/2018 |
| UB-130A | Work History (English) | 03/01/2018 |
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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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