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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 |
|---|---|---|
| 30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
| FAA-1494A | Authorized Representative Removal | 05/01/2023 |
| FAA-0255A-S | Afirmación De Hogares Por Separado | 05/01/2023 |
| FAA-1494A-SLP | Remoción de un(a) Representante Autorizado(a) (Letra Grande) | 05/01/2023 |
| FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
| FAA-0255A | Separate Household Status Statement | 05/01/2023 |
| FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
| FAA-1506A | Statement of No Income (English) | 05/01/2023 |
| AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
| FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-0229A-FY21 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2021 (English/Spanish) | 07/01/2020 |
| GCI-1085A | Vision Screening Checklist | 07/01/2020 |
| CSE-1185A | Affidavit of Credible Person Identifying Affiant (English/Spanish) | 07/01/2020 |
| OEO-1011A | One-Stop Centers Monitoring Checklist for ADA Compliance | 07/01/2020 |
| GCI-1042A | Family Survey | 07/01/2020 |
| J-930-A | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) (English) | 07/01/2020 |
| GCI-1042A-S | Encuesta Familiar | 07/01/2020 |
| RSA-1390A | Statement of Services Rendered | 07/01/2020 |
| GCI-1085A-S | Lista de verificación para el examen de la visión | 07/01/2020 |
| CSE-1016A | Waiver of Paternity Affidavit (English/Spanish) | 06/01/2020 |
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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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