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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 |
|---|---|---|
| CCA-0001A-S | Application for Child Care Assistance (Spanish) | 08/01/2024 |
| OIG-1009A-S | Request to Voluntarily Withdraw from an Appeal - DBME (Spanish) | 08/01/2024 |
| OEO-1029A | 2024 Language Access Plan (English) | 08/01/2024 |
| RSA-1484A | Pre-Employment Transition Services Request Form Checklist (English/Spanish) | 08/01/2024 |
| RSA-1365A-LP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA - Large Print (English) | 08/01/2024 |
| DDD-2309A | Loss of Eligibility for Exception to PRC Review (English) | 08/01/2024 |
| CCA-0228A-S | Self-Employment Monthly Budget Record (Spanish) | 08/01/2024 |
| RSA-1365A-SLP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA - Large Print (Spanish) | 08/01/2024 |
| CCA-0228A | Self-Employment Monthly Budget Record (English) | 08/01/2024 |
| CCA-1227A | Maximum Reimbursement Rates for Child Care (English) | 08/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1021A-S | Unpaid Co-payment Worksheet (Spanish) | 10/01/2022 |
| CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
| GCI-1147A | Records Request Response (AzEIP) | 10/01/2022 |
| LCR-1054A-S | Initial Application Worksheet (Spanish) | 10/01/2022 |
| ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
| ETA-081-S | Solicitud Inicial de asistencia para desempleados por desastre | 09/01/2022 |
| GCI-1096A | Individual Family Teaming Report (English) | 09/01/2022 |
| UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
| UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
| DES-1232A | Arizona Voter Registration Form (English/Spanish) | 09/01/2022 |
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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