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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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
DCS-1339A | Request for Administrative Review (Seizure of Property) | 06/01/2022 |
|
HRP-1055A | TEFAP Annual Agreement-CHRP/RFB | 06/01/2022 |
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GCI-1095A | Joint Visit Planning Tool | 06/01/2022 |
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FAA-1494A-SXLP | Remoción de un Representante Autorizado (Letra Extra Grande) | 06/01/2022 |
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FAA-0065A-XLP | Verification of Living Arrangements/Residential Address (Extra Large Print) | 06/01/2022 |
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FAA-1494A-SLP | Remoción de un Representante Autorizado (Letra Grande) | 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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CSE-1318A | TANF child supplemental page | 06/01/2022 |
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FAA-0065A-S | Verificación de Situación de Residencia/Dirección Residencial | 06/01/2022 |
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FAA-1494A-S | Remoción de un Representante Autorizado | 06/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
Child Count 2021 | Child Count 2021 | 06/20/2022 |
|
2020 Child Count, Settings, Exits, and Dispute Resolution | 2020 Child Count, Settings, Exits, and Dispute Resolution | 06/20/2022 |
|
Statistical Bulletin May 2022 | Statistical Bulletin May 2022 | 06/17/2022 |
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30th Month April 2022 | 30th Month Financial Report FY 2022 through April 2022 | 06/02/2022 |
|
Statistical Bulletin March 2022 | Statistical Bulletin March 2022 | 06/01/2022 |
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Statistical Bulletin April 2022 | Statistical Bulletin April 2022 | 06/01/2022 |
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6AAC3-5YRR-2021 | Five-Year Review Report - Unemployment Insurance | 06/01/2022 |
|
30th Month March 2022 | 30th Month Financial Report FY 2022 through March 2022 | 04/28/2022 |
|
Statistical Bulletin June 2021 | Statistical Bulletin June 2021 | 04/12/2022 |
|
Statistical Bulletin January 2021 | Statistical Bulletin January 2021 | 04/11/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
VR-Appendix-2 | Appendix 1 Glossary | 03/31/2022 |
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VR-2.4 | 2.4 Case Record Requirements | 03/31/2022 |
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VR-2.9 | 2.9 Case Status | 03/31/2022 |
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VR-7.6 | 7.6 Client Purchase Agreement | 03/31/2022 |
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VR-10.1 | 10.1 Post Secondary Education & Training | 03/31/2022 |
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VR-13.1 | 13.1 Rehabilitation Technology | 03/31/2022 |
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VR-13.5 | 13.5 Hearing Aids | 03/31/2022 |
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VR-1.4 | 1.4 Vocational Counseling and Guidance (VCG) | 03/31/2022 |
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VR-5.1 | 5.1 Closure Criteria | 03/31/2022 |
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VR-4.8 | 4.8 Job Retention IPE Development | 01/19/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 06/01/2022 |
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AAA-1340A | Arizona Family Caregiver Reimbursement Program | 06/01/2022 |
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DDD-2131A | Volunteers Needed Postcard | 06/01/2022 |
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DDD-0529A | Independent Oversight Committees | 06/01/2022 |
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AAA-1310A | World Elder Abuse Awareness Day | 06/01/2022 |
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DDD-0529A-S | Comités Independientes de Supervisión | 06/01/2022 |
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AAA-1310A-S | Día Mundial de Concientización Sobre el Abuso de los Adultos Mayores | 06/01/2022 |
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FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2022 |
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FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2022 |
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AAA-1340A-S | Programa de reembolso para cuidadores familiares de Arizona | 06/01/2022 |
| Download | Number | Name |
Effective Date |
|---|---|---|---|
|
RSA-1413A | Memorandum of Understanding between AZ DES/DDD and AZ DES/RSA | 04/01/2021 |
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PUA-1004 | Pandemic Unemployment Assistance (PUA) Checks - Cancellation Notice Message | 06/16/2020 |
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UIB-0105B | Pandemic Emergency Unemployment Compensation (PEUC) Notice | 06/05/2020 |
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PUA-1003 | Pandemic Unemployment Assistance (PUA) Check Message | 06/02/2020 |
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PUA-1007 | Pandemic Unemployment Assistance (PUA) Reminder to Register Message | 06/01/2020 |
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PUA-1002A | Pandemic Unemployment Assistance (PUA) Reminder | 06/01/2020 |
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PUA-1001 | Pandemic Unemployment Assistance (PUA) Filing Notice English | 05/12/2020 |
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PUA-1005 | Pandemic Unemployment Assistance (PUA) Postcard | 05/11/2020 |
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PUA-1006 | Pandemic Unemployment Assistance (PUA) Postcard | 05/08/2020 |
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FPU-1000 | Federal Pandemic Unemployment Compensation (FPUC) Program Notice | 04/16/2020 |
| Download | Number | Name |
Effective Date |
|---|---|---|---|
|
Child Count 2021 | Child Count 2021 | 06/20/2022 |
|
2020 Child Count, Settings, Exits, and Dispute Resolution | 2020 Child Count, Settings, Exits, and Dispute Resolution | 06/20/2022 |
|
Statistical Bulletin May 2022 | Statistical Bulletin May 2022 | 06/17/2022 |
|
30th Month April 2022 | 30th Month Financial Report FY 2022 through April 2022 | 06/02/2022 |
|
FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 06/01/2022 |
|
FAA-1055A | Spread the Word | 06/01/2022 |
|
GCI-1095A | Joint Visit Planning Tool | 06/01/2022 |
|
CSE-1318A | TANF child supplemental page | 06/01/2022 |
|
CSE-1156A | Affidavit of Receipt of Direct Payments / Afidávit del Recibo de Pagos Directos | 06/01/2022 |
|
HRP-1055A | TEFAP Annual Agreement-CHRP/RFB | 06/01/2022 |
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