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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 |
|---|---|---|
| RSA-1312A | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
| UB-099-Y | Certification of Understanding (English / Spanish) | 07/01/2019 |
| RSA-1312A-S | Autorización Para Divulgación De Información De Salud a RSA | 07/01/2019 |
| LCR-1007A | Home Visit Report Supplement to Notice of Inspection and Due Process Rights | 07/01/2019 |
| LCR-1007A-S | Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso | 07/01/2019 |
| DDD-1954-S | Participación en DDD | 07/01/2019 |
| CCA-0206A-S | Cuestionario para la Entrevista de Certificación Inicial | 07/01/2019 |
| CCA-1260A-S | Solicitud de Proveedor Suplente | 07/01/2019 |
| CCA-1261A-S | Solicitud de Proveedor Certificado de Cuidado de Niños Familiar | 07/01/2019 |
| SSBG Plan 2019-2020 | Social Services Block Grant Plan 2019-2020 | 07/01/2019 |
| Number | Document Name | Effective Date |
|---|---|---|
| RSA-1298B | Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral | 01/01/2023 |
| CCA-0100A-S | Información de las Operaciones de un Proveedor de Cuidado de Niños | 01/01/2023 |
| RSA-1298B-S | Recomendación para el Programa de Verano para Jóvenes Ciegos/Visión Reducida Sordo/Dificultades Auditivas | 01/01/2023 |
| OEO-1005A | Limited English Proficiency (LEP) Annual Monitoring Report Requirements Checklist | 01/01/2023 |
| RSA-1298B-LP | Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral (Large Print) | 01/01/2023 |
| DDD-1003A-S | Evaluación PASRR II | 01/01/2023 |
| RSA-1298B-SLP | Recomendación para el Programa de Verano para Jóvenes Ciegos/Visión Reducida Sordo/Dificultades Auditivas (Letra Grande) | 01/01/2023 |
| HRP-1017A | Request to Terminate USDA Distribution Site | 01/01/2023 |
| UC-018 | Unemployment Tax Wage Report (English) | 01/01/2023 |
| DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1327A-S | Challenging Behavior and Social Emotional Support (Spanish) | 07/01/2024 |
| CCA-1331A-S | Child Care Resource Guide (Spanish) | 07/01/2024 |
| DES-1333A | Register to Vote (English) | 07/01/2024 |
| GCI-1000A | Watch How I Grow (English/Spanish) | 07/01/2024 |
| CCA-1329A | Find Quality Child Care Through CCR&R (English) | 07/01/2024 |
| AAA-1431 | Annual World Elder Abuse Awareness Day (WEAAD) Conference Program | 07/01/2024 |
| FAA-1871A-S | Get Reminders About Your Nutrition and Cash Assistance Application and Benefits (Spanish) | 07/01/2024 |
| GCI-1211A | Initial Visit AzEIP Programmatic Meeting - May 2024 (English) | 07/01/2024 |
| ESA-1349A-S | Migrant and Seasonal Farmworker Orientation (Spanish) | 07/01/2024 |
| GCI-1212A | Request for Reconsideration Process (English) | 07/01/2024 |
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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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