Arizona Department of Economic Security
Your Partner for a Stronger Arizona
English Arabic French Persian Spanish Swahili Ukrainian Vietnamese

SpeakUpAZ

Main menu

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

  1. 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. 
  2. 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. 
  3. You can click on the column headers to sort the search results.


Number Document Name Effective Date
CSE-1061A Establishing Paternity 05/01/2023
FAA-0051A Verification of Financial Accounts (English) 05/01/2023
FAA-0574A-SLP Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) 05/01/2023
CCA-1163A Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) 05/01/2023
FAA-1353A Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance 05/01/2023
CSE-1061A-S Establecer la Paternidad 05/01/2023
CCA-1163A-S Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) 05/01/2023
FAA-0559A Food Distribution / Nutrition Assistance Program Participation 05/01/2023
Statistical Bulletin March 2023 Statistical Bulletin March 2023 04/21/2023
LIHEAP Plan FY23 Low-Income Home Energy Assistance Program (LIHEAP) Plan 04/19/2023

Number Document Name Effective Date
CCA-1261A Certified Family Child Care Provider Application 07/01/2019
UB-099-Y Certification of Understanding (English / Spanish) 07/01/2019
LCR-1007A Home Visit Report Supplement to Notice of Inspection and Due Process Rights 07/01/2019
GCI-1049A No Contact Letter 07/01/2019
RSA-1312A Authorization for Disclosure of Health Information to RSA 07/01/2019
LCR-1007A-S Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso 07/01/2019
RSA-1312A-S Autorización Para Divulgación De Información De Salud a RSA 07/01/2019
RSA-1367A Appeal Rights 06/01/2019
RSA-1367A-LP Appeal Rights (Large Print) 06/01/2019
RSA-1367A-S Derechos de Apelación 06/01/2019

No results available.

No results available.

No results available.

Back to Top