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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 |
|---|---|---|
| GCI-1220A | Initial Child and Family Assessment AzEIP Programmatic Meeting-July 2024 (English) | 09/23/2024 |
| LCR-1054A | Initial Application Worksheet | 10/01/2022 |
| ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
| AzEIP-TAB-12012023 | Informed Written Consent on the Individualized Family Service Plan (IFSP) Technical Assistance Bulletin - 12/01/2023 | 12/01/2023 |
| SNA-1046A-S | Informe Mensual de Actividades Laborales (Monthly Work Activity Report) | 05/01/2019 |
| LCR-1007A-S | Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso | 07/01/2019 |
| CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
| GCI-1043A-S | Informe De Evaluación Del Desarrollo | 04/01/2023 |
| UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
| UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| UB-195-FF | Affidavit as to Forged Endorsement | 05/01/2022 |
| LCR-1085A | Adult Protective Services Records Check Request | 08/01/2021 |
| AAA-1301A-S | Adult Protective Services (APS) Records Request Form (Spanish) | 08/01/2023 |
| AAA-1301A | Adult Protective Services (APS) Records Request Form (English) | 08/01/2023 |
| DDD-281 | Adult Developmental Home Agreement (English) | 04/01/2018 |
| UC-522-FF | Adjustment Report (English) | 08/01/2023 |
| CCA-1198A-S | Acuse de Recibo y Entendimiento | 07/01/2023 |
| SNA-1023A-S | Acuerdo Para Prácticas Laborales | 11/01/2018 |
| CCA-1312A-S | Acuerdo del Proveedor/Padre/Madre/Tutor Acerca de los Costos de Cuidado de Niños No Cubiertos por el DES | 03/01/2023 |
| CC-214-S | Acuerdo de Tarifas del Proveedor de Cuidado de Niños | 11/01/2022 |
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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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