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An illegal choice has been detected. Please contact the site administrator.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 |
|---|---|---|
| VR-12.4 | 12.4 Interpreting Services | 03/31/2021 |
| VR-12.5 | 12.5 Personal Assistance Services | 03/31/2021 |
| VR-12.6 | 12.6 Child Care Services | 03/31/2021 |
| VR-12.7 | 12.7 Information and Referral | 10/25/2024 |
| VR-12.8 | 12.8 Other Services | 03/31/2021 |
| VR-12.9 | 12.9 Client Equipment | 10/25/2024 |
| VR-13.1 | 13.1 Rehabilitation Technology | 10/25/2024 |
| VR-13.2 | 13.2 Adaptive Driving Evaluation and Adaptive Driving Training | 09/30/2022 |
| VR-13.3 | 13.3 Vehicle Modification | 09/30/2022 |
| VR-13.4 | 13.4 Home Modification | 10/25/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| AAA-1301A | Adult Protective Services (APS) Records Request Form (English) | 08/01/2023 |
| AAA-1301A-S | Adult Protective Services (APS) Records Request Form (Spanish) | 08/01/2023 |
| LCR-1085A | Adult Protective Services Records Check Request | 08/01/2021 |
| UB-195-FF | Affidavit as to Forged Endorsement | 05/01/2022 |
| UB-195-SFF | Affidavit as to Forged Endorsement (Spanish) | 05/01/2022 |
| FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
| CSE-1185A | Affidavit of Credible Person Identifying Affiant (English/Spanish) | 07/01/2020 |
| CSE-1171A | Affidavit of Financial Information (English/Spanish) | 04/01/2018 |
| CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
| CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
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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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