You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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FAA-1410A-SXLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Extra Grande) | 07/01/2023 |
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FAA-1724A | Application Signature Pages | 07/01/2023 |
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FAA-1724A-LP | Application Signature Pages (Large Print) | 07/01/2023 |
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FAA-1513A-LP | Time Savings Tips (Large Print) | 07/01/2023 |
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FAA-1724A-XLP | Application Signature Pages (Extra Large Print) | 07/01/2023 |
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FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
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FAA-1724A-S | Páginas de Firma de la Solicitud | 07/01/2023 |
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FAA-1492A | Authorized Representatives - Rights & Responsibilities | 07/01/2023 |
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FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
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FAA-1724A-SLP | Páginas de Firma de la Solicitud (Letra Grande) | 07/01/2023 |
Download | Number | Name | Effective Date |
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FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
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FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
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FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
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FAA-0059A | Authority to Release Records | 06/01/2023 |
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FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
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FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
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FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
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FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
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FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
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FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
Download | Number | Name | Effective Date |
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SSBG Plan 2023-2024 | Draft SSBG Plan 2023-2024 | 05/08/2023 |
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30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
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Statistical Bulletin March 2023 | Statistical Bulletin March 2023 | 04/21/2023 |
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LIHEAP Plan FY23 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/19/2023 |
test-0004 | test report | 04/01/2023 | |
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30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
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SCSEP State Plan 2020-2023 | Senior Community Service Employment Program (SCSEP) State Plan 2020-2023 | 03/15/2023 |
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Statistical Bulletin February 2023 | Statistical Bulletin February 2023 | 03/10/2023 |
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30th Month January 2023 | 30th Month Financial Report FY 2023 through January 2023 | 03/06/2023 |
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Statistical Bulletin January 2023 | Statistical Bulletin January 2023 | 02/28/2023 |
Download | Number | Name | Effective Date |
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VR-9.2 | 9.2 Treatments: Cochlear/BAHA | 03/31/2021 |
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VR-15.3 | 15.3 Mediation | 03/31/2021 |
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VR-7.4 | 7.4 Procurement of Services and Exceptions | 03/31/2021 |
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VR-9.4 | 9.4 Treatments: Occupational, Physical and Speech | 03/31/2021 |
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VR-12.3 | 12.3 Reader Services | 03/31/2021 |
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VR-15.4 | 15.4 Fair Hearing | 03/31/2021 |
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VR-2.5 | 2.5 Signature and Signature Date Requirements | 03/31/2021 |
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VR-7.5 | 7.5 Policy Exceptions to Allowable Services | 03/31/2021 |
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VR-12.4 | 12.4 Interpreting Services | 03/31/2021 |
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VR-15.5 | 15.5 Director Review of Fair Hearing Decisions | 03/31/2021 |
Download | Number | Name | Effective Date |
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WIO-1250A-S | Referral to SNAP CAN (Spanish) | 05/01/2024 |
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JOB-1135A | Arizona Jobs Program (English) | 05/01/2024 |
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FAA-1814A | Customer Informational Packet (English) | 05/01/2024 |
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DDD-2292A | Decision-Making for Adults (English) | 05/01/2024 |
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FAA-1853A-S | Nutrition Assistance Programs for Eligible Participants - Color (Spanish) | 05/01/2024 |
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JOB-1135A-S | Arizona Jobs Program (Spanish) | 05/01/2024 |
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DDD-2285A | Services While Traveling Out of State (English) | 05/01/2024 |
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DDD-2292A-S | Decision-Making for Adults (Spanish) | 05/01/2024 |
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FAA-1045A | How to Use Your Arizona EBT Card (English) | 05/01/2024 |
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FAA-1853A-S | Nutrition Assistance Programs for Eligible Participants - Black/White (Spanish) | 05/01/2024 |
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