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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-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
| FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
| FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
| FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
| CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
| FAA-1523A | Cash Programs Personal Responsibility Agreement (PRA) (English) | 06/01/2023 |
| FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
| DDD-1479A-S | Notice of Extension (Spanish) | 06/01/2023 |
| FAA-0155B-S | Determinación de Principal Devengador(a) de Ingresos (PWE por sus siglas en inglés) | 06/01/2023 |
| CCA-1105A-S | Encuesta de reclamante fiscal | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| GCI-1059A | Unable to Process Letter | 08/01/2020 |
| GCI-1059AS | Carta de No poder hacer el trámite | 08/01/2020 |
| CCA-1269A | Sworn Statement by the Registered Family Child Care (FCC) Provider | 08/01/2020 |
| GCI-1085A | Vision Screening Checklist | 07/01/2020 |
| CSE-1185A | Affidavit of Credible Person Identifying Affiant (English/Spanish) | 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 | Family Survey | 07/01/2020 |
| RSA-1390A | Statement of Services Rendered | 07/01/2020 |
| GCI-1042A-S | Encuesta Familiar | 07/01/2020 |
| GCI-1085A-S | Lista de verificación para el examen de la visión | 07/01/2020 |
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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