You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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DDD-2010A | Out-of-Network Claims Submission Guide | 05/01/2019 |
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CCA-1264A | Application Completeness Review Checklist | 05/01/2019 |
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AAA-1324A | Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing | 05/01/2019 |
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Statistical Bulletin March 2019 | Statistical Bulletin March 2019 | 05/03/2019 |
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30th Month Feb 2019 | 30th Month Financial Report FY 2019 through Feb 2019 | 05/13/2019 |
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RSA-1367A | Appeal Rights | 06/01/2019 |
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DDD-0517A | Working With You (English) | 06/01/2019 |
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CCA-1259A-S | Formulario previo a la Solicitud de Proveedor de Cuidado de Niños Certificado por el DES | 06/01/2019 |
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RSA-1367A-LP | Appeal Rights (Large Print) | 06/01/2019 |
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RSA-1367A-S | Derechos de Apelación | 06/01/2019 |
Download | Number | Name | Effective Date |
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CCA-0229A-FY23 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2023 (English/Spanish) | 11/01/2022 |
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DDD-0525A | Application for Initial Eligibility Determination (English) | 11/01/2022 |
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DDD-1972A | Application for Eligibility Determination Packet (English) | 11/01/2022 |
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DDD-0097A | Pre-Service Provider Orientation (English) | 11/01/2022 |
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CCA-1200A-S | About Me Questionnaire (Spanish) | 11/01/2022 |
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AAA-1345A-S | Solicitud del Programa de Reembolso al Cuidador Familiar de Arizona | 12/01/2022 |
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DDD-1541A | ALTCS Enrollment Transition Information (ETI) (English) | 12/01/2022 |
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LDU-1003A-S | Información Sobre una Disputa Laboral | 12/01/2022 |
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EAP-1004A | Applicant Statement of Tribal LIHEAP Denial (English) | 12/01/2022 |
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CCA-0004A | Accident, Illness or Injury Report (Eng/Span) | 12/01/2022 |
Download | Number | Name | Effective Date |
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FAA-1866A | Add Us to Your Contacts So You Know When to Answer (Eng/Spa) | 04/01/2024 |
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OEO-1014A | Equal Opportunity is the Law (Counties) | 04/01/2024 |
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OEO-1014A-S | Equal Opportunity is the Law (Counties) (Spanish) | 04/01/2024 |
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AzEIP-TAB-04042024 | AzEIP Cover Sheet for DDD Application for Eligibility Determination Technical Assistance Bulletin | 04/04/2024 |
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DDD-2286A-S | How to Apply for An Arizona State Identification (ID) Card (Spanish) | 05/01/2024 |
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CSE-1299A-S | DCSS Resource Customer Guide (Spanish) | 05/01/2024 |
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FAA-1814A-S | Customer Informational Packet (Spanish) | 05/01/2024 |
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CBC-1006A | CBC Quick Setup (English) | 05/01/2024 |
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FAA-1814A | Customer Informational Packet (English) | 05/01/2024 |
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CBC-1005A | DES Contracted Licensed Centers and Group Home Provider CBC Quick Setup (English) | 05/01/2024 |
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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