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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-0155B | Determination of Primary Wage Earner (PWE) | 06/01/2023 |
| FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
| FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
| FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
| GCI-1086A-S | A Family's Guide to Funding Early Intervention Services in Arizona (Spanish) | 06/01/2023 |
| FAA-1439A-LP | Self-Employment Income Statement - Large Print (English) | 06/01/2023 |
| FAA-0155A-S | Antecedentes de Empleo o Capacitación Reciente | 06/01/2023 |
| FAA-1055A | Spread the Word | 06/01/2023 |
| FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2023 |
| FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| UB-010-S | Eligibility Review Questionnaire (Spanish) | 02/01/2021 |
| RSA-1298A | Referral Form (English) | 02/01/2021 |
| RSA-1298A-S | Referral Form (Spanish) | 02/01/2021 |
| DDD-2087A | Documentation Guidelines: Occupational, Physical, and Speech-Language Pathology Therapy Services | 02/01/2021 |
| RSA-1298A-LP | Referral Form - Large Print (English) | 02/01/2021 |
| FAA-1796A | Affidavit of Visually Viewed Documentation | 02/01/2021 |
| RSA-1298A-S-LP | Referral Form - Large Print (Spanish) | 02/01/2021 |
| RSA-1396A | Secure Email Waiver | 02/01/2021 |
| LCR-1054A-S | Formulario de Solicitud Inicial | 01/01/2021 |
| CSE-1315A | Federal Form - General Testimony | 01/01/2021 |
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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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