You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1494A-S | Authorized Representative Removal (Spanish) | 05/01/2023 |
FAA-1565A-S | Nutrition Assistance Drug Testing Agreement (Spanish) | 05/01/2023 |
FAA-1249A | Verification of Disability | 05/01/2023 |
FAA-1353A-S | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance (Spanish) | 05/01/2023 |
AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
CSE-1061A | Establishing Paternity (English) | 05/01/2023 |
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance (English) | 05/01/2023 |
CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
CSE-1061A-S | Establishing Paternity (Spanish) | 05/01/2023 |
GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
RSA-1367A-LP | Appeal Rights (Large Print) | 06/01/2019 |
RSA-1367A-S | Derechos de Apelación | 06/01/2019 |
CCA-1259A-S | DES Certified Home-Based Child-Care Provider Pre Application (Spanish) | 06/01/2019 |
CCA-1262A | Home Inspection Checklist | 05/01/2019 |
DDD-1403E | Job Coach Agreement Individual Supported Employment Services (English) | 05/01/2019 |
DDD-1403F | Job Search Agreement - Individual Supported Employment Services (English) | 05/01/2019 |
SNA-1046A | Monthly Work Activity Report | 05/01/2019 |
SNA-1046A-S | Informe Mensual de Actividades Laborales (Monthly Work Activity Report) | 05/01/2019 |
CCA-1264A | Application Completeness Review Checklist | 05/01/2019 |
DDD-1404E | Employment Support Aide Agreement (English) | 05/01/2019 |
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