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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-1249A | Verification of Disability | 05/01/2023 |
| GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
| GCI-1032A-S | Invitación a una Reunión de Transición del IFSP Notificación Previa por Escrito | 05/01/2023 |
| DDD-1678A | Home Modifications Service Assessment (English) | 05/01/2023 |
| CCA-1170A | Withdrawal or Termination Request for Child Care Providers (English) | 05/01/2023 |
| FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance (English) | 05/01/2023 |
| FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
| GCI-1037A | Public Education Agency (PEA) Notification/Referral (English) | 05/01/2023 |
| FAA-1725A | Verification of Other Income (English) | 05/01/2023 |
| CCA-1170AS | Withdrawal or Termination Request for Child Care Providers (Spanish) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CSE-1007 | Customer Satisfaction Survey | 09/01/2019 |
| RSA-1383A | BEP Training - Applicant Checklist | 09/01/2019 |
| RSA-1386A | BEP 8 Step Process | 09/01/2019 |
| RSA-1376A | Request for Vending Services Placement | 08/01/2019 |
| UIA-1060A | Filing of Weekly Claims (English/Spanish) | 08/01/2019 |
| DDD-0524A | Authorization for Release of Information (English) | 08/01/2019 |
| UIB-0098A | Eligibility Investigation Record | 08/01/2019 |
| DDD-0524A-S | Authorization for Release of Information (Spanish) | 08/01/2019 |
| DDD-1328A | Referral to Vocational Rehabilitation (English) | 08/01/2019 |
| CCA-0206A-S | Cuestionario para la Entrevista de Certificación Inicial | 07/01/2019 |
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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