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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-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
| AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
| FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
| FAA-1494A | Authorized Representative Removal | 05/01/2023 |
| FAA-1546A | Sponsor Deeming Information (English) | 05/01/2023 |
| CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
| FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
| FAA-0255A-S | Afirmación De Hogares Por Separado | 05/01/2023 |
| FAA-1546A-S | Sponsor Deeming Information (Spanish) | 05/01/2023 |
| FAA-1565A | Nutrition Assistance Drug Testing Agreement | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| LCR-1034A | Criminal History Self Disclosure Affidavit (English) | 10/01/2019 |
| LCR-1034A-S | Criminal History Self Disclosure Affidavit (Spanish) | 10/01/2019 |
| RSA-1384A | BEP Job-Shadowing Evaluation | 09/01/2019 |
| CSE-1007A-S | Encuesta de Satisfacción del Cliente | 09/01/2019 |
| DDD-0403A | Reference Request (English) | 09/01/2019 |
| CSE-1007 | Customer Satisfaction Survey | 09/01/2019 |
| DDD-1532A | Hardship Reduction Request (English) | 09/01/2019 |
| DDD-1532A-S | Hardship Reduction Request (Spanish) | 09/01/2019 |
| RSA-1383A | BEP Training - Applicant Checklist | 09/01/2019 |
| RSA-1386A | BEP 8 Step Process | 09/01/2019 |
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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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