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-2218A | Debarment, Suspension, Ineligibility, And Voluntary Exclusion Lower Tier Covered Transaction (English) | 08/01/2023 |
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APS-1032A | Authorization to Release Non-HIPAA Information Form | 08/01/2023 |
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J-119 | Data Sharing Request/Agreement (Single Division) (English) | 08/01/2023 |
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UC-522-FF | Adjustment Report (English) | 08/01/2023 |
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AAA-1301A-S | Adult Protective Services (APS) Records Request Form (Spanish) | 08/01/2023 |
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DDD-2234A | DDD Eligibility for Children Ages 3 to 6 Years (English/Spanish) | 08/01/2023 |
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DDD-1164A-S | Attendant Care Progress Notes (Spanish) | 08/01/2023 |
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VR-1048A | About AZ Hires Vets! | 08/01/2023 |
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APS-1032A-S | Autorización para Divulgar Información sin cobertura de HIPAA | 08/01/2023 |
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DDD-1512A | Acknowledgment of Publications/Information | 08/01/2023 |
Download | Number | Name | Effective Date |
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DDD-2176A | Residency Agreement (English) | 03/01/2023 |
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LCR-1064A | Statement of Understanding-Application for HCBS Certification | 03/01/2023 |
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DDD-2176A-S | Residency Agreement (Spanish) | 03/01/2023 |
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LCR-1064A-S | Declaración de Entendimiento Solicitud de Certificación para HCBS | 03/01/2023 |
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DDD-2153A | Likely Eligibility Tool (LET) | 03/01/2023 |
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SNA-1005A | Employment and Career Development Plan (ECDP) (English) | 03/01/2023 |
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CCA-1312A | Provider/Parent/Guardian's Agreement for Non-DES Child Care Charges | 03/01/2023 |
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DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
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LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
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DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
Download | Number | Name | Effective Date |
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Annual Report 2013-2014 | 2013-2014 DES Annual Report | 12/23/2014 |
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Annual Report on Homelessness 2014 | 23rd Annual Report on Homelessness December 2014 | 12/23/2014 |
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2014 Homeless Lottery Funds Report | 2014 Homeless Lottery Funds Report | 12/18/2014 |
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Statistical Bulletin November 2014 | Statistical Bulletin November 2014 | 12/15/2014 |
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Domestic Violence Monies Dec 2014 | Domestic Violence Monies Dec 2014 (English) | 11/26/2014 |
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Statistical Bulletin October 2014 | Statistical Bulletin October 2014 | 11/14/2014 |
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WIA 2013 Annual Report | Arizona PY 13 WIA Title IB Annual Report | 11/14/2014 |
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30th Month Aug-2015 | 30th Month Report August Fiscal Year 2015 | 10/27/2014 |
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Statistical Bulletin September 2014 | Statistical Bulletin September 2014 | 10/16/2014 |
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Title XIX Reimbursement Rates Study Report 2014 | Annual Title XIX Reimbursement Rates Study Report 2014 | 10/01/2014 |
Download | Number | Name | Effective Date |
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CCA-1294A-S | Provider Registration Agreement Tutorial (Spanish) | 09/01/2021 |
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FAA-1810B | Register to vote (Eng/Spa/Navajo) | 08/01/2021 |
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UIB-1243A | Pandemic Unemployment Assistance Handbook (English) | 08/01/2021 |
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FAA-1810C | Register to vote (Eng/Spa/Apache) | 08/01/2021 |
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UIB-1243A-S | Pandemic Unemployment Assistance Handbook (Spanish) | 08/01/2021 |
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CSE-1229A | GED Back-To-School Incentive Program (English/Spanish) | 08/01/2021 |
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CCA-1291A | Empower Program (English) | 08/01/2021 |
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CCA-1293A | Child Care at Residential Homeless/Domestic Violence Shelter | 08/01/2021 |
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CCA-1288A | Roadmap to Licensed Centers and Group Homes contracting and maintaining compliance with the DES contract (English) | 07/01/2021 |
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CCA-1288A-S | Roadmap to Licensed Centers and Group Homes contracting and maintaining compliance with the DES contract (Spanish) | 07/01/2021 |
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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