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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-1494A-XLP | Authorized Representative Removal (Extra Large Print) | 05/01/2023 |
| FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
| FAA-1494A | Authorized Representative Removal | 05/01/2023 |
| FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
| FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
| FAA-0620A | Treatment Center Change Report | 05/01/2023 |
| FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
| FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
| FAA-0257A | Individual Development Account Agreement (English) | 05/01/2023 |
| FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
| FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
| FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
| FAA-1494A-SLP | Remoción de un(a) Representante Autorizado(a) (Letra Grande) | 05/01/2023 |
| FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
| FAA-1701A-XLP | Verification of Terminated Employment - Extra Large Print (English) | 05/01/2022 |
| FAA-1442A | Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información | 12/01/2019 |
| FAA-0075A | Verification of School Attendance (English) | 12/01/2019 |
| AH-800 | AHCCCS Information for Applicants | 11/01/2018 |
| AH-800-S | ¿Qué Servicios Cubre el Seguro de Salud de AHCCCS? | 11/01/2018 |
| Number | Document Name | Effective Date |
|---|---|---|
| Statistical Bulletin October 2022 | Statistical Bulletin October 2022 | 11/16/2022 |
| Statistical Bulletin August 2022 | Statistical Bulletin August 2022 | 11/07/2022 |
| Statistical Bulletin September 2022 | Statistical Bulletin September 2022 | 11/07/2022 |
| 30th Month September 2022 | 30th Month Financial Report FY 2023 through September 2022 | 11/04/2022 |
| 6AAC5-Article-49 | Five-Year Review Report - DCC Article 49 | 11/01/2022 |
| Draft Aging Plan 2023-2026 | Arizona State Plan on Aging 2023-2026 (English) | 10/03/2022 |
| 30th Month June 2022 | 30th Month Financial Report FY 2022 through June 2022 | 09/22/2022 |
| 6AAC8-5YRR 2022 | Five-Year Review Report - DAAS | 09/07/2022 |
| Statistical Bulletin July 2022 | Statistical Bulletin July 2022 | 09/02/2022 |
| DES Welfare-2022 | SFY 2022 Annual Welfare Reform Report | 09/02/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| VR-2.2 | 2.2 Address Confidentiality Program (ACP) | 03/31/2021 |
| VR-9.2 | 9.2 Treatments: Cochlear/BAHA | 03/31/2021 |
| VR-7.4 | 7.4 Procurement of Services and Exceptions | 03/31/2021 |
| VR-11.3 | 11.3 Job Readiness Training | 03/15/2021 |
| DES 1-01-12-01 | Americans with Disabilities Act (ADA) Title 2 Procedures (English) | 02/05/2021 |
| DES 1-01-12 | Americans with Disabilities Act (ADA) Title 2 (English) | 02/05/2021 |
| DES 1-01-12-01S | Americans with Disabilities Act (ADA) Title 2 Procedures (Spanish) | 02/05/2021 |
| DES 1-01-12S | Americans with Disabilities Act (ADA) Title 2 (Spanish) | 02/05/2021 |
| DES-1-92-03 | Tribal Government Consultation Policy | 04/14/2020 |
| DES-1-92-03-01 | Tribal Government Consultation Procedures | 04/14/2020 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1045A-XLP | How to Use Your Arizona EBT Card - Extra Large Print (English) | 05/01/2024 |
| FAA-1814A-S | Customer Informational Packet (Spanish) | 05/01/2024 |
| FAA-1853A | Nutrition Assistance Programs for Eligible Participants - Color (English) | 05/01/2024 |
| FAA-1814A | Customer Informational Packet (English) | 05/01/2024 |
| FAA-1853A | Nutrition Assistance Programs for Eligible Participants - Black/White (English) | 05/01/2024 |
| CSE-1319A | AZCARES Employer Portal FAQs (English) | 05/01/2024 |
| WIO-1250A-S | Referral to SNAP CAN (Spanish) | 05/01/2024 |
| CSE-1319A-S | AZCARES Employer Portal FAQs (Spanish) | 05/01/2024 |
| DDD-2292A | Decision-Making for Adults (English) | 05/01/2024 |
| FAA-1853A-S | Nutrition Assistance Programs for Eligible Participants - Color (Spanish) | 05/01/2024 |
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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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