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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-S | Caretakers Raising Children (Spanish) | 02/01/2023 |
| DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
| FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 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 |
| DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
| DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
| DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
| WIO-1108A | WIOA EO Monitoring Review Guide (English) | 02/01/2023 |
| DDD-1883A-S | ¿Qué es PASRR? Una guía para las familias | 02/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-1405C | Transition To Employment - Quality Assurance Review | 05/01/2018 |
| CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers (English) | 05/01/2018 |
| CCA-1141A-S | Direct Deposit Enrollment - DES Certified Homes/Relative Providers (Spanish) | 05/01/2018 |
| DDD-1404C | Employment Support Aide - Quality Assurance Review | 05/01/2018 |
| UB-296 | Report of Illness or Physical Disability (English) | 05/01/2018 |
| LCR-1080A | Licensing Investigation Template | 04/01/2018 |
| CSE-1171A | Affidavit of Financial Information (English/Spanish) | 04/01/2018 |
| LCR-1080B | Licensing Investigation Procedural Tool | 04/01/2018 |
| DDD-281 | Adult Developmental Home Agreement (English) | 04/01/2018 |
| UIT-1146A | Limited Power of Attorney (English) | 04/01/2018 |
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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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