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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 |
|---|---|---|
| CCA-1198A-S | Acuse de Recibo y Entendimiento | 07/01/2023 |
| FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
| CCA-1176A-S | Parent/Guardian Affidavit of Non-Compensated Child Care (Spanish) | 07/01/2023 |
| FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
| FAA-1818A | Nutrition Assistance (NA) Medical Expense Deduction | 07/01/2023 |
| FAA-1415A | Illegal Drug Use Statement (English) | 07/01/2023 |
| FAA-1415A-LP | Illegal Drug Use Statement - Large Print (English) | 07/01/2023 |
| FAA-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
| FAA-1714A | Mid Approval Contact - Lobby (English) | 07/01/2023 |
| FAA-1415A-S | Illegal Drug Use Statement (Spanish) | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-2104A | Member Interdisciplinary Team Summary | 07/01/2021 |
| CCA-1212A | Direct Service Position (Certification form) (English) | 07/01/2021 |
| CCA-1212A-S | Direct Service Position (Certification form) (Spanish) | 07/01/2021 |
| CCA-1276A-S | Action Plan (Spanish) | 06/01/2021 |
| WIO-1144A | Eligible Training Provider List (LWDB) | 06/01/2021 |
| CCA-1276A | Action Plan (English) | 06/01/2021 |
| UIB-0098B | Eligibility Investigation Record - Pension | 06/01/2021 |
| WIO-1144B | Eligible Training Provider List LWDB Monitoring Tool (English) | 06/01/2021 |
| UIB-0098L | Eligibility Investigation Record - Transient Lodging Seasonal Employment | 06/01/2021 |
| UIB-0098E | Eligibility Investigation Record - Education/School Bus Wages | 06/01/2021 |
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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
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