ANNOUNCEMENT: The vendor through which the State of Arizona utilizes to print and mail correspondence is experiencing a nationwide system outage. Until this issue is resolved, most notices, forms and paper checks from DES will be impacted. We continue to work closely with our vendor throughout the process to ensure minimal disruption to our clients and partners. We are also connecting with other vendors who are able to provide services during the outage. The services DES provides are not impacted by this incident and remain accessible to the public. We appreciate your patience and understanding.
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.
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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
UIB-0101C | Work Search Plan of Action Affidavit | 06/01/2022 |
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FAA-1494A-XLP | Authorized Representative Removal (Extra Large Print) | 06/01/2022 |
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FAA-0065A-SXLP | Verificación de Situación de Residencia/Dirección Residencial (Letra extra grande) | 06/01/2022 |
|
UIA-1029A | Application for Transient Lodging Seasonal Employment Status | 06/01/2022 |
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FAA-0065A | Verification of Living Arrangements/Residential Address | 06/01/2022 |
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HRP-1055A | TEFAP Annual Agreement-CHRP/RFB | 06/01/2022 |
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FAA-1494A-LP | Authorized Representative Removal (Large Print) | 06/01/2022 |
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GCI-1046A | Referral Letter | 06/01/2022 |
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UB-400 | Shared Work Unemployment Compensation - Information and Application | 06/01/2022 |
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CSE-1318A | TANF child supplemental page | 06/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
Statistical Bulletin May 2022 | Statistical Bulletin May 2022 | 06/28/2022 |
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SPP-APR-C FFY2020 | State Performance Plan / Annual Performance Report: Part C FFY 2020 | 06/28/2022 |
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Child Count 2021 | Child Count 2021 | 06/20/2022 |
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2020 Child Count, Settings, Exits, and Dispute Resolution | 2020 Child Count, Settings, Exits, and Dispute Resolution | 06/20/2022 |
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30th Month April 2022 | 30th Month Financial Report FY 2022 through April 2022 | 06/02/2022 |
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Statistical Bulletin March 2022 | Statistical Bulletin March 2022 | 06/01/2022 |
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Statistical Bulletin April 2022 | Statistical Bulletin April 2022 | 06/01/2022 |
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6AAC3-5YRR-2021 | Five-Year Review Report - Unemployment Insurance | 06/01/2022 |
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30th Month March 2022 | 30th Month Financial Report FY 2022 through March 2022 | 04/28/2022 |
|
Statistical Bulletin June 2021 | Statistical Bulletin June 2021 | 04/12/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
VR-3.1 | 3.1 Referral, Orientation, Intake Interview and Application | 06/30/2022 |
|
VR-12.1 | 12.1 Transportation Services | 06/30/2022 |
|
VR-4.3 | 4.3 IPE Development | 06/30/2022 |
|
VR-2.1 | 2.1 Protection, Use, and Release of Client Information | 06/30/2022 |
|
VR-2.3 | 2.3 Applicant/Client Authorization | 06/30/2022 |
|
VR-Appendix-1 | Appendix 1 Glossary of Terms and Definitions | 06/30/2022 |
|
VR-2.4 | 2.4 Case Record Requirements | 06/30/2022 |
|
VR-7.3 | 7.3 Economic Need | 06/30/2022 |
|
VR-15.2 | 15.2 Informal Review | 06/30/2022 |
|
VR9.5 | 9.5 Treatments: Psychology/Psychiatric/Mental Health | 06/30/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
DDD-0529A-S | Comités Independientes de Supervisión | 06/01/2022 |
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AAA-1310A-S | Día Mundial de Concientización Sobre el Abuso de los Adultos Mayores | 06/01/2022 |
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FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2022 |
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UIB-1258A | Shared Work Information for Employees | 06/01/2022 |
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FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2022 |
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UIB-1258A-S | Información acerca del Trabajo Compartido para Empleados | 06/01/2022 |
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AAA-1340A-S | Programa de reembolso para cuidadores familiares de Arizona | 06/01/2022 |
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FAA-1055A | Spread the Word | 06/01/2022 |
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FAA-1055A-S | ¡Haga correr la voz! | 06/01/2022 |
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FAA-1819A | EBT Card Safety and Fraud Prevention | 06/01/2022 |
| Download | Number | Name |
Effective Date |
|---|---|---|---|
|
RSA-1413A | Memorandum of Understanding between AZ DES/DDD and AZ DES/RSA | 04/01/2021 |
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PUA-1004 | Pandemic Unemployment Assistance (PUA) Checks - Cancellation Notice Message | 06/16/2020 |
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UIB-0105B | Pandemic Emergency Unemployment Compensation (PEUC) Notice | 06/05/2020 |
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PUA-1003 | Pandemic Unemployment Assistance (PUA) Check Message | 06/02/2020 |
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PUA-1007 | Pandemic Unemployment Assistance (PUA) Reminder to Register Message | 06/01/2020 |
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PUA-1002A | Pandemic Unemployment Assistance (PUA) Reminder | 06/01/2020 |
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PUA-1001 | Pandemic Unemployment Assistance (PUA) Filing Notice English | 05/12/2020 |
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PUA-1005 | Pandemic Unemployment Assistance (PUA) Postcard | 05/11/2020 |
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PUA-1006 | Pandemic Unemployment Assistance (PUA) Postcard | 05/08/2020 |
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FPU-1000 | Federal Pandemic Unemployment Compensation (FPUC) Program Notice | 04/16/2020 |
| Download | Number | Name |
Effective Date |
|---|---|---|---|
|
VR-3.1 | 3.1 Referral, Orientation, Intake Interview and Application | 06/30/2022 |
|
VR-4.3 | 4.3 IPE Development | 06/30/2022 |
|
VR-Appendix-1 | Appendix 1 Glossary of Terms and Definitions | 06/30/2022 |
|
VR-12.1 | 12.1 Transportation Services | 06/30/2022 |
|
VR9.5 | 9.5 Treatments: Psychology/Psychiatric/Mental Health | 06/30/2022 |
|
VR-2.1 | 2.1 Protection, Use, and Release of Client Information | 06/30/2022 |
|
VR-2.3 | 2.3 Applicant/Client Authorization | 06/30/2022 |
|
VR-2.4 | 2.4 Case Record Requirements | 06/30/2022 |
|
VR-7.3 | 7.3 Economic Need | 06/30/2022 |
|
VR-15.2 | 15.2 Informal Review | 06/30/2022 |
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