You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
DDD-1725A | Uniform Billing Document (Short form) | 12/17/2008 |
CCA-1021A | Unpaid Co-payment Worksheet (English) | 10/01/2022 |
CCA-1021A-S | Unpaid Co-payment Worksheet (Spanish) | 10/01/2022 |
FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 05/01/2023 |
AzEIP-TAB-11302023 | Updated AzEIP Early Intervention Contact Log (GCI-1094A) and Policy Reminders Technical Assistance Bulletin | 11/30/2023 |
AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
HRP-1014A | USDA Civil Rights Complaint and Grievance (English) | 02/01/2022 |
HRP-1014A-S | USDA Civil Rights Complaint and Grievance (Spanish) | 02/01/2022 |
HRP-1001A | USDA Commodity Loss Report (CLR) | 07/01/2022 |
HRP-1027A | USDA Compliance Review (English) | 12/01/2024 |
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