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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 |
|---|---|---|
| 30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
| DDD-1678A | Home Modifications Service Assessment (English) | 05/01/2023 |
| FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
| FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
| FAA-1506A | Statement of No Income (English) | 05/01/2023 |
| FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
| FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
| FAA-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
| FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
| CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| RSA-1390A | Statement of Services Rendered | 07/01/2020 |
| GCI-1042A | Family Survey | 07/01/2020 |
| J-930-A | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) (English) | 07/01/2020 |
| GCI-1085A-S | Lista de verificación para el examen de la visión | 07/01/2020 |
| CSE-1185A | Affidavit of Credible Person Identifying Affiant (English/Spanish) | 07/01/2020 |
| GCI-1042A-S | Encuesta Familiar | 07/01/2020 |
| CCA-0229A-FY21 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2021 (English/Spanish) | 07/01/2020 |
| OEO-1011A | One-Stop Centers Monitoring Checklist for ADA Compliance | 07/01/2020 |
| GCI-1085A | Vision Screening Checklist | 07/01/2020 |
| GCI-1119A | Standards of Practice Checklist (English) | 06/01/2020 |
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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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