Scheduled Maintenance Notification
SCAM ALERT: DES has been made aware of a “mimic phone number” scam that closely matches the DES phone number for assistance with Medical, Nutrition and Cash Assistance. It may offer various “promotions” like retail gift cards and ask for a credit card number. DES advises customers to do the following in the event you misdial:
1- Dial carefully. The correct phone number for the HEAplus Customer Support Center is 855-432-7587.
2- You should never hear any special offers or promotions or requests to provide your credit card when calling for assistance with benefits. If you do, hang up, check the number you dialed, and call again.
3- Never give your credit card number.
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.
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
DDD-1400B | Employment Quality Assurance Review Summary | 05/01/2017 |
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DDD-1405A | Transition To Employment - Quarterly Progress Report | 05/01/2017 |
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UB-433-FF | Voluntary Election for Federal/State Income Tax Withholding (English/Spanish) | 05/01/2017 |
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SNA-1027B | Work Focus (ABAWD) | 05/01/2017 |
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DDD-1403A | Quarterly Report | 05/01/2017 |
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DDD-1403B | Six-Month Report | 05/01/2017 |
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DDD-1403C | Quality Assurance Review | 05/01/2017 |
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J-119-Single | Data Sharing Request/Agreement (Single Division) | 04/01/2017 |
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UB-099-Y | Certificate of Understanding (Eng/Span) | 04/01/2017 |
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UB-101-A | Work Search Log (Eng/Span) | 04/01/2017 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
Public Report of AzEIP 2015 | Public Report of Early Intervention Services Programs, 2015 | 05/22/2017 |
|
30th Month Mar-2017 | 30th Month Report March Fiscal Year 2017 | 05/16/2017 |
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Statistical Bulletin April 2017 | Statistical Bulletin April 2017 | 05/11/2017 |
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Early Intervention Program Determinations FFY 2013 | Early Intervention Program Determinations FFY 2013 | 05/03/2017 |
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Early Intervention Program Determinations FFY 2014 | Early Intervention Program Determinations FFY 2014 | 05/03/2017 |
|
Statistical Bulletin March 2017 | Statistical Bulletin March 2017 | 05/01/2017 |
|
Application for Federal Funds FFY 2016 | Arizona's Part C FFY 2016 Application for Federal Funds | 05/01/2017 |
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Application for Federal Funds FFY 2017 | Arizona's Part C FFY 2017 Application for Federal Funds | 05/01/2017 |
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30th Month Feb-2017 | 30th Month Report February Fiscal Year 2017 | 04/18/2017 |
|
Statistical Bulletin February 2017 | Statistical Bulletin February 2017 | 03/30/2017 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
DES 1-01-14-01 | Director's Office of Equal Opportunity Procedures: Client Complaint Process | 02/24/2017 |
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DES_1-92-03 | Tribal Government Consultation | 10/06/2014 |
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DES 1-01-34 | Limited English Proficiency | 08/08/2014 |
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DES 1-01-12 | Americans with Disabilities Act (ADA) Title II | 03/15/2013 |
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DES 1-01-12-01S | Procedimientos del Título II de la Ley de Estadounidenses con Discapacidades | 03/15/2013 |
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DES 1-01-12S | Ley de Estadounidenses con Discapacidades - Título II | 03/15/2013 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
Arizona Legislative District Demographics Handbook 2016 | Arizona Legislative District Demographics Handbook 2016 | 05/12/2017 |
|
Arizona County Demographics Handbook 2016 | Arizona County Demographics Handbook 2016 | 04/27/2017 |
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PAF-001-A | Family Assistance Programs - What You Need to Know (English/Spanish) | 04/01/2017 |
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PAF-558 | Don't Take a Chance...Report a Change! | 04/01/2017 |
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CSE-1274A | My Child Support Servicees Login | 04/01/2017 |
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FAA-1513A | Time Saving Tips | 04/01/2017 |
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FAA-1513A-S | Consejos para Ahorrar Tiempo | 04/01/2017 |
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PAF-558-S | No se arriesgue...¡Informe los cambios! | 04/01/2017 |
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DDD-1807ACRD | Volunteer with a Human Rights Commitee (Card) | 03/01/2017 |
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DDD-1807AFLY | Volunteer with a Human Rights Committee (Flyer) | 03/01/2017 |
| Download | Number | Form Name |
Effective Date |
|---|---|---|---|
|
Public Report of AzEIP 2015 | Public Report of Early Intervention Services Programs, 2015 | 05/22/2017 |
|
30th Month Mar-2017 | 30th Month Report March Fiscal Year 2017 | 05/16/2017 |
|
Arizona Legislative District Demographics Handbook 2016 | Arizona Legislative District Demographics Handbook 2016 | 05/12/2017 |
|
Statistical Bulletin April 2017 | Statistical Bulletin April 2017 | 05/11/2017 |
|
Early Intervention Program Determinations FFY 2013 | Early Intervention Program Determinations FFY 2013 | 05/03/2017 |
|
Early Intervention Program Determinations FFY 2014 | Early Intervention Program Determinations FFY 2014 | 05/03/2017 |
|
DDD-1405A | Transition To Employment - Quarterly Progress Report | 05/01/2017 |
|
UB-433-FF | Voluntary Election for Federal/State Income Tax Withholding (English/Spanish) | 05/01/2017 |
|
Statistical Bulletin March 2017 | Statistical Bulletin March 2017 | 05/01/2017 |
|
DDD-1403A | Quarterly Report | 05/01/2017 |
