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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 |
|---|---|---|
| CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
| CCA-1211B | Attachment to Request for Search of Background Checks (CCA-1211A) Disqualifying Acts (English) | 04/01/2021 |
| CCA-1211B-S | Attachment to Request for Search of Background Checks (CCA-1211A-S) Disqualifying Acts (Spanish) | 04/01/2021 |
| CCA-1212A | Direct Service Position (Certification form) (English) | 07/01/2021 |
| CCA-1212A-S | Direct Service Position (Certification form) (Spanish) | 07/01/2021 |
| CCA-1216A | Notice to All Families Enrolled at DES Child Care Facility (English/Spanish) | 02/01/2023 |
| CCA-1224A | Fast Pass DCS Referral (English) | 03/01/2024 |
| CCA-1227A | Maximum Reimbursement Rates for Child Care (English) | 08/01/2024 |
| CCA-1227A-S | Maximum Reimbursement Rates for Child Care (Spanish) | 08/01/2024 |
| CCA-1228A | Direct Service Position (Certification Form) (English) | 12/01/2016 |
| Number | Document Name | Effective Date |
|---|---|---|
| EAP-1007A-S | Declaración del Solicitante de No Tener Ingresos | 04/01/2023 |
| EAP-1012A | Limited Authorization to Release Records Transfer of LIHEAP Application to Community Navigation Provider (English) | 06/01/2024 |
| EAP-1012A-S | Limited Authorization to Release Records Transfer of LIHEAP Application to Community Navigation Provider (Spanish) | 06/01/2024 |
| ES-935 | Claimant’s Affidavit of Federal Civilian Service, Wages, and Reason for Separation - UCFE | 12/01/2018 |
| ESA-1126A | Cancellation of Direct Deposit (English) | 04/01/2020 |
| ESA-1126A-S | Cancellation of Direct Deposit (Spanish) | 04/01/2020 |
| ESA-1193A | Veteran's Assessment Tool (English) | 12/01/2024 |
| ESA-1193A-S | Veterans' Assessment Tool (Spanish) | 08/01/2024 |
| ESA-1220A | Work Readiness Self-Assessment (English) | 09/01/2018 |
| ESA-1220A-S | Work Readiness Self-Assessment (Spanish) | 09/01/2018 |
| Number | Document Name | Effective Date |
|---|---|---|
| Statistical Bulletin March 2024 | Statistical Bulletin March 2024 | 04/25/2024 |
| Statistical Bulletin May 2013 | Statistical Bulletin May 2013 | 06/14/2013 |
| Statistical Bulletin May 2014 | Statistical Bulletin May 2014 | 06/13/2014 |
| Statistical Bulletin May 2015 | Statistical Bulletin May 2015 | 07/08/2015 |
| Statistical Bulletin May 2016 | Statistical Bulletin May 2016 | 06/10/2016 |
| Statistical Bulletin May 2017 | Statistical Bulletin May 2017 | 06/14/2017 |
| Statistical Bulletin May 2018 | Statistical Bulletin May 2018 | 06/13/2018 |
| Statistical Bulletin May 2019 | Statistical Bulletin May 2019 | 06/14/2019 |
| Statistical Bulletin May 2020 | Statistical Bulletin May 2020 | 04/11/2022 |
| Statistical Bulletin May 2021 | Statistical Bulletin May 2021 | 04/11/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| OEO-1029A | 2024 Language Access Plan (English) | 08/01/2024 |
| Ombudsman Manual | Ombudsman Manual | 03/23/2011 |
| PAD-465-C | Definitions for AHCCCS Members | 01/01/2018 |
| PAD-588-PD | Decisions About Your Health Care | 11/01/2011 |
| PAD-588-PDS | Decisiones sobre el cuidado de su salud | 11/01/2011 |
| PAU-592 | Data Disclosure Information and Fee Schedule | 04/01/2018 |
| POU-003 | Notice to Employees (English) | 08/01/2019 |
| POU-003-S | Notice to Employees (Spanish) | 08/01/2019 |
| POX-248 | Americans with Disabilities Act Notice (English) | 11/01/2024 |
| POX-248 - kinyarwanda | Americans with Disabilities Act Notice (Kinyarwanda) | 07/01/2020 |
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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