You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0177A | Claim of Good Cause (English/Spanish) | 06/01/2023 |
FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2023 |
FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
FAA-1440A-SLP | Cash Assistance Benefit Limit Extension Request - Large Print (Spanish) | 06/01/2023 |
FAA-1055A | Spread the Word | 06/01/2023 |
FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CSE-1016A | Waiver of Paternity Affidavit (English/Spanish) | 06/01/2020 |
SNA-1000A-S | Rights and Responsibilities (Spanish) | 06/01/2020 |
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
GCI-1088A-S | Child and Family Assessment Guide for Families (Spanish) | 06/01/2020 |
GCI-1084A | Hearing Screening Tracking (English) | 06/01/2020 |
CSE-1314A | Child Supplemental Page (English / Spanish) | 06/01/2020 |
GCI-1084A-S | Hearing Screening Tracking (Spanish) | 06/01/2020 |
GCI-1118A | Arizona Early Intervention Program Non-DES Employee Training Planning and Tracking Form (English) | 06/01/2020 |
GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
GCI-1039A | Consent to Obtain Information (English) | 05/01/2020 |
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