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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 |
|---|---|---|
| DDD-1972A | Application for Eligibility Determination Packet (English) | 11/01/2022 |
| DDD-1972A-S | Application for Eligibility Determination Packet (Spanish) | 11/01/2022 |
| DDD-0525A | Application for Initial Eligibility Determination (English) | 11/01/2022 |
| DDD-0525A-S | Application for Initial Eligibility Determination (Spanish) | 11/01/2022 |
| LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
| LCR-1025A-S | Application for Initial HCBS Certification (Spanish) | 09/01/2020 |
| CS-124 | Application for IV-D Service/Genetic Testing Agreement / Solicitud para servicios del IV-D/acuerdo para pruebas geneticas | 12/01/2017 |
| FNS-252-2 | Application for Meal Services | 04/01/2019 |
| UIA-1069A | Application for Mixed Earners Unemployment Compensation | 04/01/2021 |
| DDD-2114A | Application for Redetermination of Eligibility at Age 18 (English) | 09/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-2088A | Evaluation Report Plan of Care/Treatment: Certification/Recertification | 01/01/2021 |
| SNA-1022A-S | Exención De Gastos De Transporte | 11/01/2018 |
| AAA-1230A | Exit Interview Questionnaire (English) | 01/01/2024 |
| FAA-1530A-SLP | FAA-1530A-XLP - Nutrition Assistance Able Bodied Adult Without Dependents (ABAWD) Time Limits - Large Print (Spanish) | 10/01/2024 |
| RSA-BP3508 | Facility Visitation | 06/07/2015 |
| CCA-0041A | Fair Hearing Request | 11/01/2021 |
| AAA-1350B | Family Caregiver Support Program Evaluation | 05/01/2021 |
| AAA-1418A | Family Caregiver Support Program Reporting Matrix | 10/01/2023 |
| AAA-1418A-S | Family Caregiver Support Program Reporting Matrix (Spanish) | 10/01/2023 |
| CCA-1234A | Family Child Care Home Backup Provider Backup, Discipline, and Transportation Agreement | 04/01/2021 |
| Number | Document Name | Effective Date |
|---|---|---|
| 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 |
| Statistical Bulletin May 2022 | Statistical Bulletin May 2022 | 06/28/2022 |
| Statistical Bulletin May 2023 | Statistical Bulletin May 2023 | 06/22/2023 |
| Statistical Bulletin May 2024 | Statistical Bulletin May 2024 | 06/25/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1810C | Register to vote (Eng/Spa/Apache) | 08/01/2021 |
| FAA-1810B | Register to vote (Eng/Spa/Navajo) | 08/01/2021 |
| DES-1333A | Register to Vote (English) | 07/01/2024 |
| FAA-1841A-S | Regreso a Renovaciones Regulares de MA | 09/01/2023 |
| VR-1018A-S | Rehabilitación Vocacional (VR) | 09/01/2021 |
| VR-1018A-SLP | Rehabilitación Vocacional (VR) (Letra Grande) | 09/01/2021 |
| DDD-2082A | Report Suspected Abuse, Neglect or Exploitation | 09/01/2020 |
| DDD-2082A-S | Reportando Sospechas de Abuso, Negligencia, o Explotación | 09/01/2020 |
| FAA-1492A-S | Representantes Autorizados - Derechos y Responsabilidades | 07/01/2023 |
| GCI-1212A | Request for Reconsideration Process (English) | 07/01/2024 |
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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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