You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (English) | 05/01/2023 |
FAA-0620A | Treatment Center Change Report | 05/01/2023 |
FAA-0574A-SLP | Withdrawal or Stop Benefits/Appeal Request - Large Print (Spanish) | 05/01/2023 |
AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
FAA-0574A-SXLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (Spanish) | 05/01/2023 |
CCA-0221A | Family Child Care Provider Statement of Services (English) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
GCI-1077A-S | Complaint Request (Spanish) | 01/01/2019 |
WIO-1084A | WIOA Title I-B Adult and Dislocated Worker Incentive Approval Request Form (English) | 12/01/2018 |
ES-935 | Claimant’s Affidavit of Federal Civilian Service, Wages, and Reason for Separation - UCFE | 12/01/2018 |
SNA-1027A | Work Focus | 11/01/2018 |
SNA-1027A-S | Enfoque de Trabajo | 11/01/2018 |
SNA-1012A | SNA E&T Referral to Provider | 11/01/2018 |
SNA-1045A-S | Acceptable Proof of Good Cause (Spanish) | 11/01/2018 |
SNA-1012AS | SNA E&T Referral to Provider (Spanish) | 11/01/2018 |
SNA-1045A | Acceptable Proof of Good Cause (English) | 11/01/2018 |
SNA-1023A-S | Acuerdo Para Prácticas Laborales | 11/01/2018 |
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