You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
DDD-2254A | DDD Eligibility for Ages 6 to Adult (English/Spanish) | 11/01/2023 |
DDD-2255A | What to Do If You Have an Emergency (English/Spanish) | 11/01/2023 |
DDD-2256A | Support Coordination (English/Spanish) | 11/01/2023 |
EAP-1006A-S | LIHEAP Portable Fuel Certification (Spanish) | 11/01/2023 |
GCI-1094A | Early Intervention Contact Log (English) | 11/01/2023 |
UB-106-T-I | Completion Instructions for Approved Training Continued Claim, UB-106-T (English) | 11/01/2023 |
UB-106-T-I-S | Completion Instructions for Approved Training Continued Claim, UB-106-T (Spanish) | 11/01/2023 |
DDD-2252A | What is Employment First? (English/Spanish) | 11/01/2023 |
GCI-1186A | Autism Screenings AzEIP Programmatic Meeting - October 2023 (English) | 11/01/2023 |
EAP-1006A | LIHEAP Portable Fuel Certification (English) | 11/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
CCA-1021A | Unpaid Co-payment Worksheet (English) | 10/01/2022 |
CCA-1021A-S | Unpaid Co-payment Worksheet (Spanish) | 10/01/2022 |
LCR-1005A | Notice of Inspection Rights (English) | 10/01/2022 |
DDD-1991A-S | DDD Eligibility Checklist (Spanish) | 10/01/2022 |
DDD-1991A | DDD Eligibility Checklist (English) | 10/01/2022 |
CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
DDD-1747A-S | Assisted Living Facility (ALF) Residential Facility (Spanish) | 10/01/2022 |
LCR-1005A-S | Notice of Inspection Rights (Spanish) | 10/01/2022 |
LCR-1054A-S | Initial Application Worksheet (Spanish) | 10/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
GCI-1102A | AzEIP Child and Family Outcomes- Accessible | 06/01/2017 |
GCI-1102A-S | Evaluaciones de los Resultados de los Niños y las Familias - Accessible | 06/01/2017 |
DDD-1807ACRD | Volunteer with a Human Rights Committee (Card) | 03/01/2017 |
DDD-1807ACRD-S | Volunteer with a Human Rights Committee (Card Spanish) | 03/01/2017 |
DDD-1795APAMPD | Dental Care Adult (Ages 21+) (English) | 12/01/2016 |
DDD-1795APAMS | Dental Care Adult (Ages 21+) (Spanish) | 12/01/2016 |
DDD-1751A | Responsible Driving Information Fact Sheet#6 (English) | 07/01/2016 |
DDD-1745A-S | Vehicle Safety Buckle Up - Q&A's (Spanish) | 06/01/2016 |
UIB-1220A | The Following Information is Required to File a New Application | 06/01/2016 |
DDD-1745A | Vehicle Safety Buckle Up - Q&A's (English) | 05/01/2016 |
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