You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
UB-106-T-I-S | Completion Instructions for Approved Training Continued Claim, UB-106-T (Spanish) | 11/01/2023 |
|
FAA-1530A | Nutrition Assistance Able Bodied Adult Without Dependents (ABAWD) Time Limits (English) | 11/01/2023 |
|
GCI-1186A | Autism Screenings AzEIP Programmatic Meeting - October 2023 (English) | 11/01/2023 |
|
RRP-1017A | Program Participants Application for Recertification (English) | 11/01/2023 |
|
EAP-1006A-S | LIHEAP Portable Fuel Certification (Spanish) | 11/01/2023 |
|
FAA-1530A-S | Nutrition Assistance Able Bodied Adult Without Dependents (ABAWD) Time Limits (Spanish) | 11/01/2023 |
|
GCI-1185A | Transition AzEIP Programmatic Meeting (English) | 11/01/2023 |
|
RRP-1018A | Client Employment & Income Attestation Form (English) | 11/01/2023 |
|
DDD-2238A | Home Delivered Meal Service Referral Form (English) | 11/01/2023 |
|
DDD-2252A | What is Employment First? (English/Spanish) | 11/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1249A | Verification of Disability | 05/01/2023 |
|
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
|
FAA-0412A | Change Report (English) | 05/01/2023 |
|
FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
|
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
|
FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
|
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
|
DDD-1678A | Home Modifications Service Assessment (English) | 05/01/2023 |
|
FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
|
CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DES Welfare-2015 | Annual Welfare Reform Report 2015 | 08/28/2015 |
|
30th Month May-2015 | 30th Month Report May Fiscal Year 2015 | 08/24/2015 |
|
Tribal Consultation Report 2015 | Tribal Consultation Report 2015 | 08/17/2015 |
|
Statistical Bulletin July 2015 | Statistical Bulletin July 2015 | 08/14/2015 |
|
30th Month Mar-2015 | 30th Month Report March Fiscal Year 2015 | 07/30/2015 |
|
30th Month Apr-2015 | 30th Month Report April Fiscal Year 2015 | 07/30/2015 |
|
Statistical Bulletin June 2015 | Statistical Bulletin June 2015 | 07/16/2015 |
|
Statistical Bulletin May 2015 | Statistical Bulletin May 2015 | 07/08/2015 |
|
SSBG Plan 2015-2016 | Social Services Block Grant Plan 2015-2016 | 07/01/2015 |
|
Statistical Bulletin April 2015 | Statistical Bulletin April 2015 | 06/10/2015 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1199A | Emergency Preparedness & Response Planning (English) | 04/01/2022 |
|
CCA-1199A-S | Emergency Preparedness & Response Planning (Spanish) | 04/01/2022 |
|
RSA-1213A | Disability Benefits 101 | 04/01/2022 |
|
RSA-1213A-LP | Disability Benefits 101 (Large Print) | 04/01/2022 |
|
RSA-1213A-SLP | Beneficios por discapacidad en Arizona 101 (Letra Grande) | 04/01/2022 |
|
RSA-1213A-S | Beneficios por discapacidad en Arizona 101 | 04/01/2022 |
|
UIT-1209A-S | Módulo de Respuesta por Internet para Empleadores (IRME) | 02/01/2022 |
|
UIT-1209A | Internet Response Module for Employers (IRME) | 02/01/2022 |
|
ESA-1370A | One Stop Program SCSEP | 02/01/2022 |
|
RRP-1012A | Refugee Medical Assistance Program (RMA) Provider Manual (English) | 02/01/2022 |
Stay up-to-date with news and updates delivered straight to your inbox
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