Main menu
- About DES
- Services
- Basic Needs
- Adult Protective Services
- Food Assistance
- Nutrition Assistance
- How to Apply for Nutrition Assistance
- Frequently Asked Questions
- Change Report for Nutrition, Cash, and Medical Assistance Benefits
- Electronic Benefits Transfer (EBT) Card
- Health-e-Arizona Plus Application
- Publications for Nutrition, Cash, and Medical Assistance Benefits
- Work Requirements for Able-Bodied Adults Without Dependents
- Double Up Food Bucks
- Student Eligibility for SNAP
- How to Support Health in your Home
- Hunger Relief Programs
- Other Food Programs
- Information for DES Partners
- Other Resources
- Appeals
- Contact DES
- Customer Bill of Rights
- Limited English Proficiency
- Office of Program Evaluation
- USDA Programs Nondiscrimination Statements
- Nutrition Assistance
- Medical Assistance
- Refugee Resettlement
- Shelter and Housing
- Domestic Violence Support
- Sexual Violence Support
- Child and Family
- Disabilities
- Older Adults
- Employment
- Job Seekers
- Reentry Services
- Employer Resources
- Apprenticeship
- Unemployment - Individual
- Apply for UI Benefits
- File Your Weekly UI Claims
- ID.me Identity Verification
- Overpayments
- Reemployment Services and Eligibility Assessment (RESEA)
- Disaster Unemployment Assistance
- Pandemic Unemployment Assistance
- ARIZONA@WORK Employment Resources
- Income Tax Information
- Eligibility for Unemployment Benefits
- Work Search and Your Eligibility for Unemployment Benefits
- How Do I and Frequently Asked Questions
- Forms & Pamphlets
- Contact Arizona UI
- UI Benefit Fraud
- How To File An Appeal For UI Benefits
- UI Data Dashboard
- Working with a Disability
- Employment Service/Related Law Complaint
- Unemployment - Employer
- Applying for an Unemployment Insurance Tax Account Number
- Report Changes to Your Business
- Reporting Wages and Paying Unemployment Insurance Taxes
- Employment Taxes - Calculating Unemployment Taxes
- Unemployment Insurance Tax Forms
- Unemployment Insurance Tax Frequently Asked Questions
- Request UI Records
- Employer Handbook/ Unemployment Tax
- Employer Handbook/ Unemployment Benefit Claims
- AZ Unemployment Insurance Tax Survey
- Contact the Unemployment Tax Office
- Arizona Shared Work Program
- Senior Community Service Employment Program
- Veterans
- Workforce Innovation and Opportunity Act (WIOA)
- Arizona State Monitor Advocate
- Basic Needs
- How do I?
- Do Business with DES?
- Request a Vendor Meeting
- Frequently Asked Questions
- Learn about HIPAA?
- Request Assistance?
- Request DES Records?
- Submit Website Feedback?
- Work for DES?
- ADA Disability Rights/Reasonable Accommodations
- Volunteer?
- File a Discrimination Complaint
- Report Developmental Disabilities Fraud, Waste and Abuse
- Documents Center
- Media Center
- Office Locator
- Report Fraud
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 |
|---|---|---|
| UB-113-S | Combined-Wage Claim Withdrawal (Spanish) | 07/01/2024 |
| WIO-1027A-S | WIOA Title IB Applicant Statement (Spanish) | 07/01/2024 |
| CCA-1331A-S | Child Care Resource Guide (Spanish) | 07/01/2024 |
| FAA-1871A-S | Get Reminders About Your Nutrition and Cash Assistance Application and Benefits (Spanish) | 07/01/2024 |
| DCAD-NHP | Neighbors Helping Neighbors | 07/01/2024 |
| AAA-1431 | Annual World Elder Abuse Awareness Day (WEAAD) Conference Program | 07/01/2024 |
| DDD-2245A-S | DDD Eligibility Application Process (Spanish) | 07/01/2024 |
| GCI-1050A | AzEIP Prior Written Notice (English) | 07/01/2024 |
| DDD-2245A | DDD Eligibility Application Process (English) | 07/01/2024 |
| GCI-1211A | Initial Visit AzEIP Programmatic Meeting - May 2024 (English) | 07/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-0308A | Individual Emergency Information - Residential | 07/01/2023 |
| FAA-1410A-S | Grant Diversion Script and Applicant Agreement (Spanish) | 07/01/2023 |
| ESA-1306A | Employment Service Registration (English) | 07/01/2023 |
| CCA-0208A-S | Provider/Parent/Guardian's Agreement for Child Care Charges (Spanish) | 07/01/2023 |
| FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
| CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care (English) | 07/01/2023 |
| FAA-1410A-LP | Grant Diversion Script and Applicant Agreement - Large Print (English) | 07/01/2023 |
| ESA-1306A-S | Employment Service Registration (Spanish) | 07/01/2023 |
| CCA-1198A | Acknowledgement of Receipt and Understanding | 07/01/2023 |
| CCA-1176A-S | Parent/Guardian Affidavit of Non-Compensated Child Care (Spanish) | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| 30th Month May-2017 | 30th Month Report May Fiscal Year 2017 | 07/14/2017 |
| SSBG Plan 2017-2018 | Social Services Block Grant Plan 2017-2018 | 07/01/2017 |
| 30th Month Apr-2017 | 30th Month Report April Fiscal Year 2017 | 06/21/2017 |
| Statistical Bulletin May 2017 | Statistical Bulletin May 2017 | 06/14/2017 |
| DVS-1004A | Domestic Violence Monies Dec 2016 (English) | 06/01/2017 |
| APS SFY 2016 | Adult Protective Services Annual Activity 2016 Report | 06/01/2017 |
| 2016 Homeless Lottery Funds Report | 2016 Homeless Lottery Funds Report | 06/01/2017 |
| 6AAC3 | Five-year Review Report – Unemployment Insurance | 05/27/2017 |
| 6AAC8 | Five-year Review Report - Aging and Adult Administration | 05/19/2017 |
| 30th Month Mar-2017 | 30th Month Report March Fiscal Year 2017 | 05/16/2017 |
| Number | Document Name | Effective Date |
|---|---|---|
| GCI-1093A | What to Expect from Team Based Early Intervention (English) | 11/01/2022 |
| VR-1027A-LP | Job Readiness Workshop (Large Print) | 11/01/2022 |
| GCI-1093A-S | What to Expect from Team Based Early Intervention (Spanish) | 11/01/2022 |
| GCI-1106A | Arizona Early Intervention Program Child Care Providers | 11/01/2022 |
| ESA-1060A-S | Need Help Finding a Job? (Spanish) | 10/01/2022 |
| ESA-1060A | Need Help Finding a Job? (English) | 10/01/2022 |
| GCI-1125A | Arizona Early Intervention Program Billing Manual - October 2022 (English) | 10/01/2022 |
| EAP-1000A-S | Need Help Paying Your Energy Bill (Spanish) | 10/01/2022 |
| GCI-1070A | Child and Family Rights in the Arizona Early Intervention Program (English) | 10/01/2022 |
| EAP-1000A | Need Help Paying Your Energy Bill (English) | 10/01/2022 |
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
© Copyright 2025 DES