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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 |
|---|---|---|
| GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
| FAA-1249A | Verification of Disability | 05/01/2023 |
| FAA-1494A-XLP | Authorized Representative Removal (Extra Large Print) | 05/01/2023 |
| FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
| FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
| CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
| FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
| FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
| CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
| CSE-1061A | Establishing Paternity | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| GCI-1038B | Consent for Evaluation - Prior Written Notice | 02/01/2020 |
| GCI-1038B-S | Consentimiento para Evaluación - Aviso Previo por Escrito | 02/01/2020 |
| DDD-0221A-SLP | Spending Plan - Large Print (Spanish) | 02/01/2020 |
| CSE-1157A | Non-Custodial Parent Request for Administrative Review (English/Spanish) | 02/01/2020 |
| DDD-0221A-LP | Spending Plan - Large Print (English) | 02/01/2020 |
| DDD-0221A | Spending Plan (English) | 02/01/2020 |
| GCI-1115A | Acknowledgement of Child and Family Rights | 02/01/2020 |
| LCR-1033A | Life-Safety Inspection Request (English) | 02/01/2020 |
| GCI-1115A-S | Confirmación del Folleto acerca de los Derechos del Menor y la Familia | 02/01/2020 |
| DDD-0221A-S | Spending Plan (Spanish) | 02/01/2020 |
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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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