You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 05/01/2023 |
FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
FAA-1004A-XLP | Designation of EBT Alternate Card Holder - Extra Large Print (English) | 05/01/2023 |
FAA-1546A | Sponsor Deeming Information (English) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
DVSF2022 | Domestic Violence Shelter Fund Report for SFY 2022 (English) | 12/20/2022 |
DV Monies Report 2022 | Domestic Violence Monies Report 2022 (English) | 12/20/2022 |
Statistical Bulletin November 2022 | Statistical Bulletin November 2022 | 12/15/2022 |
Rehabilitation Council Annual Report 2022 | Governor's State Rehabilitation Council 2022 Annual Report | 12/08/2022 |
30th Month October 2022 | 30th Month Financial Report FY 2023 through October 2022 | 12/02/2022 |
APS 2022 Year in Review | Adult Protective Services 2022 Year in Review | 11/17/2022 |
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 |
Number | Document Name | Effective Date |
---|---|---|
VR-12.5 | 12.5 Personal Assistance Services | 03/31/2021 |
VR-2.8 | 2.8 Schedule A Documentation | 03/31/2021 |
VR-12.6 | 12.6 Child Care Services | 03/31/2021 |
VR-2.12 | 2.12 Disability Benefits Calculator (DB101) | 03/31/2021 |
VR-8.1 | 8.1 Assessments: General | 03/31/2021 |
VR-9.7 | 9.7 Treatments: Neurorehabilitation | 03/31/2021 |
VR-4.4 | 4.4 Supported Employment IPE Development | 03/31/2021 |
VR-8.2 | 8.2 Assessments: Audiology/Ear, Nose & Throat (ENT) | 03/31/2021 |
VR-9.8 | 9.8 Treatments: Medical Equipment | 03/31/2021 |
VR-12.8 | 12.8 Other Services | 03/31/2021 |
Number | Document Name | Effective Date |
---|---|---|
GCI-1157C-S | Instructions for Completing the Record Review Report/Prior Written Notice (Spanish) | 05/01/2024 |
FAA-1045A-LP | How to Use Your Arizona EBT Card - Large Print (English) | 05/01/2024 |
ESA-1322A | Hilton Honors Military Program (English) | 05/01/2024 |
DDD-2286A-S | How to Apply for An Arizona State Identification (ID) Card (Spanish) | 05/01/2024 |
DES-1139A | Services Provided by DES (English) | 05/01/2024 |
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 |
CBC-1006A | CBC Quick Setup (English) | 05/01/2024 |
FAA-1814A | Customer Informational Packet (English) | 05/01/2024 |
CBC-1005A | DES Contracted Licensed Centers and Group Home Provider CBC Quick Setup (English) | 05/01/2024 |
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