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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 |
|---|---|---|
| FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
| FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
| FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
| FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
| FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
| AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
| CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
| FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
| FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
| CSE-1061A | Establishing Paternity | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| LCR-1053A | Renewal Application Worksheet (English) | 06/01/2020 |
| GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
| GCI-1082A-S | Consentimiento para Evaluación - Notificación Previa por Escrito | 06/01/2020 |
| GCI-1088A | Child and Family Assessment Guide for Families (Accessible) | 06/01/2020 |
| SNA-1000A-S | Rights and Responsibilities (Spanish) | 06/01/2020 |
| CSE-1314A | Child Supplemental Page (English / Spanish) | 06/01/2020 |
| GCI-1118A | Arizona Early Intervention Program Non-DES Employee Training Planning and Tracking Form (English) | 06/01/2020 |
| GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
| GCI-1039A | Consent to Obtain Information | 05/01/2020 |
| GCI-1039AS | Autorización para Obtener Información | 05/01/2020 |
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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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