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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 |
|---|---|---|
| FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
| FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
| AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
| FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
| FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
| AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
| GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
| FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
| FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
| FAA-0257A | Individual Development Account Agreement (English) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CSE-1157A | Non-Custodial Parent Request for Administrative Review (English/Spanish) | 02/01/2020 |
| DDD-0221A | Spending Plan (English) | 02/01/2020 |
| GCI-1115A | Acknowledgement of Child and Family Rights | 02/01/2020 |
| GCI-1115A-S | Confirmación del Folleto acerca de los Derechos del Menor y la Familia | 02/01/2020 |
| DDD-0221A-S | Spending Plan (Spanish) | 02/01/2020 |
| DDD-0221A-SLP | Spending Plan - Large Print (Spanish) | 02/01/2020 |
| GCI-1038B | Consent for Evaluation - Prior Written Notice | 02/01/2020 |
| DDD-0221A-LP | Spending Plan - Large Print (English) | 02/01/2020 |
| GCI-1038B-S | Consentimiento para Evaluación - Aviso Previo por Escrito | 02/01/2020 |
| LCR-1033A | Life-Safety Inspection Request (English) | 02/01/2020 |
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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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