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 Public 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 |
|---|---|---|
| RSA-1365A | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA (English) | 08/01/2024 |
| CCA-1328A | Potential Provider Overpayment Referral (English) | 08/01/2024 |
| CCA-0229A-FY25 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2025 (English/Spanish) | 08/01/2024 |
| CCA-0228A-S | Self-Employment Monthly Budget Record (Spanish) | 08/01/2024 |
| CCA-0001A-S | Application for Child Care Assistance (Spanish) | 08/01/2024 |
| CCA-0228A | Self-Employment Monthly Budget Record (English) | 08/01/2024 |
| OIG-1008A | Request to Voluntarily Withdraw from an Appeal - DCAD (English) | 08/01/2024 |
| RSA-1365A-LP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA - Large Print (English) | 08/01/2024 |
| DDD-1857A | Residential Services and Treatment Services Option Comparison (English) | 08/01/2024 |
| OIG-1009A | Request to Voluntarily Withdraw from an Appeal - DBME (English) | 08/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
| GCI-1037A-S | Public Education Agency (PEA) Notification/Referral (Spanish) | 05/01/2023 |
| FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
| FAA-0574A-SLP | Withdrawal or Stop Benefits/Appeal Request - Large Print (Spanish) | 05/01/2023 |
| GCI-1033A | Transition Conference Summary | 05/01/2023 |
| FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
| FAA-0255A-S | Afirmación De Hogares Por Separado | 05/01/2023 |
| GCI-1033A-S | Resumen de la Conferencia de Transición | 05/01/2023 |
| FAA-1546A | Sponsor Deeming Information (English) | 05/01/2023 |
| FAA-1249A | Verification of Disability | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| Statistical Bulletin February 2014 | Statistical Bulletin February 2014 | 03/28/2014 |
| 30th Month January 2014 | 30th Month Report January Fiscal Year 2014 | 03/06/2014 |
| Statistical Bulletin January 2014 | Statistical Bulletin January 2014 | 02/28/2014 |
| TANF Report October 2011 | TANF State Plan Effective October 1, 2011 | 02/25/2014 |
| 30th Month December 2013 | 30th Month Report December Fiscal Year 2014 | 02/24/2014 |
| Annual Report 2012-2013 | 2012-2013 DES Annual Report | 02/06/2014 |
| Statistical Bulletin December 2013 | Statistical Bulletin December 2013 | 02/03/2014 |
| 30th Month November 2013 | 30th Month Report November Fiscal Year 2014 | 01/28/2014 |
| 2013 Homeless Lottery Funds Report | 2013 Homeless Lottery Funds Report | 12/30/2013 |
| Annual Report on Homelessness 2013 | 22nd Annual Report on Homelessness December 2013 | 12/30/2013 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1810B | Register to vote (Eng/Spa/Navajo) | 08/01/2021 |
| CCA-1288A | Roadmap to Licensed Centers and Group Homes contracting and maintaining compliance with the DES contract (English) | 07/01/2021 |
| CCA-1288A-S | Roadmap to Licensed Centers and Group Homes contracting and maintaining compliance with the DES contract (Spanish) | 07/01/2021 |
| DDD-2094A-S | Pautas para la Construcción de Relaciones Vecinas Positivas | 05/01/2021 |
| AAA-1283A | Adult Protective Services (APS) (English) | 05/01/2021 |
| TAA-1087A | Trade Adjustment Assistance Program | 04/01/2021 |
| CCA-1284A | Finding Child Care You Can Trust | 04/01/2021 |
| TAA-1087A-S | Programa de Subsidio por Ajuste de Comercio | 04/01/2021 |
| CCA-1284A-S | Encontrar Cuidado Infantil en el que Pueda Confiar | 04/01/2021 |
| TAA-1086A | Trade Adjustment Assistance Program | 04/01/2021 |
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