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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 |
|---|---|---|
| UB-106A-S | Weekly Claim for Unemployment Insurance (UI) Benefits (Spanish) | 10/01/2023 |
| GCI-1184A-RA-PD | AzEIP TBEIS Billing Manual October 1, 2023 (English) | 10/01/2023 |
| DDD-1856A | Supported Living Planning Guide (English) | 10/01/2023 |
| AAA-1398A-S | Alzheimer's Walk (Spanish) | 10/01/2023 |
| AG-119 | Nutritional Health Screening Tool (English) | 10/01/2023 |
| AG-119-S | Nutritional Health Screening Tool (Spanish) | 10/01/2023 |
| FAA-1842A-S | Remplazo de Beneficios de Asistencia Nutricional (NA) - Alimentos Destruidos en un Desastre o Desgracia | 10/01/2023 |
| FAA-1842A | Replacement of Nutrition Assistance Benefits - Food Destroyed in a Disaster/Misfortune | 10/01/2023 |
| AAA-1398A | Alzheimer's Walk | 10/01/2023 |
| AAA-1182A | Arizona Nutrition, Food Service and Wellness Manual (English) | 10/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CC-214-S | Acuerdo de Tarifas del Proveedor de Cuidado de Niños | 11/01/2022 |
| DDD-0525A-S | Application for Initial Eligibility Determination (Spanish) | 11/01/2022 |
| CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
| CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
| LCR-1054A | Initial Application Worksheet | 10/01/2022 |
| LCR-1005A | Notice of Inspection Rights (English) | 10/01/2022 |
| CCA-1021A | Unpaid Co-payment Worksheet (English) | 10/01/2022 |
| CCA-1021A-S | Unpaid Co-payment Worksheet (Spanish) | 10/01/2022 |
| DDD-1991A-S | DDD Eligibility Checklist (Spanish) | 10/01/2022 |
| DDD-1991A | DDD Eligibility Checklist (English) | 10/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| Annual Report 2003-2004 | 2003-2004 DES Annual Report | 01/27/2005 |
| Annual Report 2002-2003 | 2002-2003 DES Annual Report | 02/02/2004 |
| Annual Report 2001-2002 | 2001-2002 DES Annual Report | 12/31/2002 |
| Annual Report 2000-2001 | 2000-2001 DES Annual Report | 01/18/2002 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-2010A | Out-of-Network Claims Submission Guide | 05/01/2019 |
| UIT-1191A | Bulk UI Tax Rate Request Process and Information (English) | 04/01/2019 |
| CCA-1253A | Choosing Quality Child Care (English/Spanish) | 04/01/2019 |
| FAA-1375A | Nutrition Assistance Posters | 04/01/2019 |
| AAA-1316A | SNAP-O Partnership | 04/01/2019 |
| UIT-1190A | UI Tax Online Reporting | 03/01/2019 |
| FAA-1700A | SAW Contact Card | 02/01/2019 |
| DDD-1945A | Support Coordination and You (English) | 01/01/2019 |
| DDD-1945A-S | Support Coordination and You (Spanish) | 01/01/2019 |
| HPY-330 | Article 52: Certification and Supervision of Family Child Care Home Providers (English/Spanish) – EFF | 12/01/2018 |
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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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