You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
GCI-1157C | Instructions for Completing the Record Review Report/Prior Written Notice (English) | 05/01/2024 |
CCA-1303A | Instructions for Central Registry Submission (English/Spanish) | 08/01/2023 |
UC-010-FF | Installment Payment Agreement (English) | 08/01/2017 |
GCI-1211A | Initial Visit AzEIP Programmatic Meeting - May 2024 (English) | 07/01/2024 |
GCI-1241A | Initial Individualized Family Service Plan (IFSP) Part Two AzEIP Programmatic Meeting - October 2024 | 01/31/2025 |
AzEIP-TAB-09262024 | Initial Individualized Family Service Plan (IFSP) Part One AzEIP Programmatic Meeting - September 2024 | 12/12/2024 |
GCI-1220A | Initial Child and Family Assessment AzEIP Programmatic Meeting-July 2024 (English) | 09/23/2024 |
LCR-1054A-S | Initial Application Worksheet (Spanish) | 10/01/2022 |
LCR-1054A | Initial Application Worksheet (English) | 10/01/2022 |
ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
LCR-1000A | Agency Compliance Audit Checklist (English) | 12/01/2022 |
UB-101-B-FFS | Afirmación del Plan de Acción para Búsqueda de Trabajo | 11/01/2011 |
FAA-0255A-S | Afirmación De Hogares Por Separado | 05/01/2023 |
CSE-0454A | Affidavit Supporting Paternity (English) | 03/01/2024 |
FAA-1796A | Affidavit of Visually Viewed Documentation | 02/01/2021 |
CSE-1156A | Affidavit of Receipt of Direct Payments (English/Spanish) | 01/01/2025 |
CSE-0258A | Affidavit of Paternity Rescission (English/Spanish) | 12/01/2020 |
CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
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