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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 | Authorized Representative Removal (English) | 05/01/2023 |
| FAA-1725A | Verification of Other Income (English) | 05/01/2023 |
| FAA-0574A | Withdrawal or Stop Benefits/Appeal Request (English) | 05/01/2023 |
| FAA-1768A | Overpayment Compromise Request Form (English) | 05/01/2023 |
| CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
| FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
| FAA-1565A | Nutrition Assistance Drug Testing Agreement (English) | 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 |
| GCI-1161A-2 | Findings Letter AzEIP Programmatic Meeting | 04/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CC-228-S | Registro Presupuestario de empleo propio | 10/01/2018 |
| DES-1077A-LP | Notice of Privacy Practices - Large Print (English) | 09/01/2018 |
| CCA-1161A-S | Declaración de Autosuficiencia | 09/01/2018 |
| DES-1077A-S-LP | Notice of Privacy Practices - Large Print (Spanish) | 09/01/2018 |
| DES-1059A | Authorization to Release Information (English/Spanish) | 09/01/2018 |
| UIB-0098D | Eligibility Investigation Record - Administrative Penalty | 09/01/2018 |
| ESA-1220A | Work Readiness Self-Assessment (English) | 09/01/2018 |
| DES-1077A-S | Notice of Privacy Practices (Spanish) | 09/01/2018 |
| ESA-1220A-S | Work Readiness Self-Assessment (Spanish) | 09/01/2018 |
| DDD-1749A | Support Coordinator Guide to AAC Evaluation Referrals (English) | 09/01/2018 |
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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