You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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DDD-1620A | Home Modification Service Property Owner Authorization for Home Modifications | 10/01/2023 |
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AAA-1418A | Family Caregiver Support Program Reporting Matrix | 10/01/2023 |
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DDD-1620A-S | Servicio de Adaptaciones en el Hogar/Autorización del Propietario para las Adaptaciones en el Hogar | 10/01/2023 |
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DDD-0195B | DDD Member Rights and Responsibilities (English) | 10/01/2023 |
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ESA-1314B | Notification of Complaint to Employer | 10/01/2023 |
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UB-106A | Weekly Claim for Unemployment Insurance (UI) Benefits (English) | 10/01/2023 |
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AAA-1182A | Arizona Nutrition, Food Service and Wellness Manual (English) | 10/01/2023 |
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GCI-1184A-RA-PD | AzEIP TBEIS Billing Manual October 1, 2023 (English) | 10/01/2023 |
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AG-119 | Nutritional Health Screening Tool (English) | 10/01/2023 |
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ESA-1314B-S | Notificación de Queja al Empleador | 10/01/2023 |
Download | Number | Name | Effective Date |
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FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
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FAA-1249A | Verification of Disability | 05/01/2023 |
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FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
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FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
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FAA-0255A-S | Afirmación De Hogares Por Separado | 05/01/2023 |
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FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
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FAA-0255A | Separate Household Status Statement | 05/01/2023 |
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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
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FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
Download | Number | Name | Effective Date |
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2015 Homeless Lottery Funds Report | 2015 Homeless Lottery Funds Report | 02/10/2016 |
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30th Month Nov-2016 | 30th Month Report November Fiscal Year 2016 | 01/19/2016 |
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Statistical Bulletin December 2015 | Statistical Bulletin December 2015 | 01/13/2016 |
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Annual Report 2014-2015 | 2014-2015 DES Annual Report | 12/23/2015 |
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30th Month Oct-2016 | 30th Month Report October Fiscal Year 2016 | 12/21/2015 |
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Statistical Bulletin November 2015 | Statistical Bulletin November 2015 | 12/15/2015 |
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Statistical Bulletin October 2015 | Statistical Bulletin October 2015 | 11/23/2015 |
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Domestic Violence Monies Dec 2015 | Domestic Violence Monies Report Dec 2015 (English) | 11/20/2015 |
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30th Month Sep-2016 | 30th Month Report September Fiscal Year 2016 | 11/12/2015 |
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6AAC18 | Five-year Review Report - Office of Licensing, Certification and Registration | 10/30/2015 |
Download | Number | Name | Effective Date |
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WIO-1173A | Thank You Response | 05/01/2022 |
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WIO-1161B | Addressing Weaknesses (SCC) | 05/01/2022 |
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WIO-1164B | Background Questions (SCC) | 05/01/2022 |
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WIO-1173B | Thank You Response (SCC) | 05/01/2022 |
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WIO-1162A | Arizona Job Connection | 05/01/2022 |
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WIO-1166A | Do's and Dont's | 05/01/2022 |
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WIO-1174A | Veterans | 05/01/2022 |
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WIO-1166B | Do's and Dont's (SCC) | 05/01/2022 |
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WIO-1174B | Veterans (SCC) | 05/01/2022 |
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AAA-1304A | Home and Community Based Services (English) | 05/01/2022 |
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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