ANNOUNCEMENT: The vendor through which the State of Arizona utilizes to print and mail correspondence is experiencing a nationwide system outage. Until this issue is resolved, most notices, forms and paper checks from DES will be impacted. We continue to work closely with our vendor throughout the process to ensure minimal disruption to our clients and partners. We are also connecting with other vendors who are able to provide services during the outage. The services DES provides are not impacted by this incident and remain accessible to the public. We appreciate your patience and understanding.
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.
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- 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.
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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
RAP-1002A | Emergency Rental Assistance Program Manual Application | 05/01/2022 |
|
WAP-1000A-S | Solicitud del LIHWAP | 05/01/2022 |
|
FAA-1821A-S | Solicitud de Asistencia Nutricional Proyecto de Solicitud Simplificada para Personas de Tercera Edad (ESAP) | 05/01/2022 |
|
RAP-1002A-S | Solicitud manual para el Programa de Asistencia de Emergencia para el Alquiler | 05/01/2022 |
|
WAP-1000A-SLP | Solicitud del LIHWAP (Letra Grande) | 05/01/2022 |
|
WAP-1000A | LIHWAP Application | 05/01/2022 |
|
HRP-1028A | Application for Benefits (TEFAP, CSFP) | 05/01/2022 |
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WAP-1000A-LP | LIHWAP Application (Large Print) | 05/01/2022 |
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RAP-1002A-SLP | Solicitud manual para el Programa de Asistencia de Emergencia para el Alquiler (Letra Grande) | 05/01/2022 |
|
RAP-1014A-LP | Emergency Rental Assistance Program Utilities Only Application (Large Print) | 05/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
2021 Homeless Lottery Funds Report | 2021 Homeless Lottery Funds Report | 12/30/2021 |
|
30th Month November 2021 | 30th Month Financial Report FY 2022 through November 2021 | 12/27/2021 |
|
DV Monies Report 2021 | Domestic Violence Monies Report 2021 | 12/17/2021 |
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DVSF2021 | Domestic Violence Shelter Fund Report for SFY 2021 | 12/17/2021 |
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Tribal Consultation Report 2021 | Tribal Consultation Report 2021 | 12/14/2021 |
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30th Month October 2021 | 30th Month Financial Report FY 2022 through October 2021 | 11/30/2021 |
|
CHRP Policy and Procedure Manual | Arizona Coordinated Hunger Relief - The Emergency Food Assistance Program (TEFAP) Commodity Senior Food Program (CSFP) Policy and Procedure Manual | 11/15/2021 |
|
30th Month March 2021 | 30th Month Financial Report FY 2021 through March 2021 | 10/27/2021 |
|
30th Month April 2021 | 30th Month Financial Report FY 2021 through April 2021 | 10/27/2021 |
|
30th Month May 2021 | 30th Month Financial Report FY 2021 through May 2021 | 10/27/2021 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
VR-7.2 | 7.2 Comparable Benefits | 03/31/2021 |
|
VR9.2 Treatments: Cochlear/BAHA | 9.2 Treatments: Cochlear/BAHA | 03/31/2021 |
|
VR-11.4 | 11.4 Job Related Services | 03/31/2021 |
|
VR9.3 | 9.3 Treatments: Vision | 03/31/2021 |
|
VR-12.2 | 12.2 Maintenance | 03/31/2021 |
|
VR-15.3 | 15.3 Mediation | 03/31/2021 |
|
VR-2.5 | 2.5 Signature and Signature Date Requirements | 03/31/2021 |
|
VR-7.4 | 7.4 Procurement of Services and Exceptions | 03/31/2021 |
|
VR9.4 | 9.4 Treatments: Occupational, Physical and Speech | 03/31/2021 |
|
VR-12.3 | 12.3 Reader Services | 03/31/2021 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
AAA-1304A-S | Servicios Basados en el Hogar y en la Comunidad | 05/01/2022 |
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AAA-1289A-S | Programa de Apoyo para Cuidadores Familiares | 05/01/2022 |
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AAA-1313A-S | APS at a Glance (Spanish) | 05/01/2022 |
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WIO-1168A | Keeping Your Job | 05/01/2022 |
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APS-1000A-S | Servicios de Protección al Adulto | 05/01/2022 |
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WIO-1168B | Keeping Your Job (SCC) | 05/01/2022 |
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WIO-1169A | Resume Tips | 05/01/2022 |
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APS-1000A | Adult Protective Services | 05/01/2022 |
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WIO-1169B | Resume Tips (SCC) | 05/01/2022 |
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WIO-1161A | Addressing Weaknesses | 05/01/2022 |
| Download | Number | Name |
Effective Date |
|---|---|---|---|
|
CSE-1318A | TANF child supplemental page | 06/01/2022 |
|
HRP-1055A | TEFAP Annual Agreement-CHRP/RFB | 06/01/2022 |
|
FAA-1494A-SLP | Remoción de un Representante Autorizado (Letra Grande) | 06/01/2022 |
|
FAA-1494A-LP | Authorized Representative Removal (Large Print) | 06/01/2022 |
|
UIA-1030A-S | Información acerca del Trabajo Compartido para los Empleadores | 06/01/2022 |
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CSE-1156A | Affidavit of Receipt of Direct Payments / Afidávit del Recibo de Pagos Directos | 06/01/2022 |
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GCI-1143A | AzEIP Transition Timeline | 06/01/2022 |
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FAA-1494A-S | Remoción de un Representante Autorizado | 06/01/2022 |
|
DCS-1339A | Request for Administrative Review (Seizure of Property) | 06/01/2022 |
|
Statistical Bulletin April 2022 | Statistical Bulletin April 2022 | 06/01/2022 |
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