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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-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
| FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
| FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
| FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
| FAA-1055A | Spread the Word | 06/01/2023 |
| FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
| FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
| FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
| FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
| FAA-0059A | Authority to Release Records | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
| FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
| FAA-1249A | Verification of Disability | 05/01/2023 |
| FAA-1546A | Sponsor Deeming Information (English) | 05/01/2023 |
| FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
| FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
| FAA-1546A-S | Sponsor Deeming Information (Spanish) | 05/01/2023 |
| FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
| FAA-1506A | Statement of No Income (English) | 05/01/2023 |
| FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| 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 |
| 6AAC5-Article-49 | Five-Year Review Report - DCC Article 49 | 11/01/2022 |
| Draft Aging Plan 2023-2026 | Arizona State Plan on Aging 2023-2026 (English) | 10/03/2022 |
| 30th Month June 2022 | 30th Month Financial Report FY 2022 through June 2022 | 09/22/2022 |
| 6AAC8-5YRR 2022 | Five-Year Review Report - DAAS | 09/07/2022 |
| Statistical Bulletin July 2022 | Statistical Bulletin July 2022 | 09/02/2022 |
| DES Welfare-2022 | SFY 2022 Annual Welfare Reform Report | 09/02/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| VR-9.6 | 9.6 Treatments: Dental | 03/31/2021 |
| VR-12.6 | 12.6 Child Care Services | 03/31/2021 |
| VR-2.8 | 2.8 Schedule A Documentation | 03/31/2021 |
| VR-11.3 | 11.3 Job Readiness Training | 03/15/2021 |
| DES 1-01-12-01 | Americans with Disabilities Act (ADA) Title 2 Procedures (English) | 02/05/2021 |
| DES 1-01-12 | Americans with Disabilities Act (ADA) Title 2 (English) | 02/05/2021 |
| DES 1-01-12-01S | Americans with Disabilities Act (ADA) Title 2 Procedures (Spanish) | 02/05/2021 |
| DES 1-01-12S | Americans with Disabilities Act (ADA) Title 2 (Spanish) | 02/05/2021 |
| DES-1-92-03-01 | Tribal Government Consultation Procedures | 04/14/2020 |
| DES-1-92-03 | Tribal Government Consultation Policy | 04/14/2020 |
| Number | Document Name | Effective Date |
|---|---|---|
| GCI-1157C-S | Instructions for Completing the Record Review Report/Prior Written Notice (Spanish) | 05/01/2024 |
| JOB-1135A | Arizona Jobs Program (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 |
| JOB-1135A-S | Arizona Jobs Program (Spanish) | 05/01/2024 |
| CBC-1006A | CBC Quick Setup (English) | 05/01/2024 |
| FAA-1045A-SLP | How to Use Your Arizona EBT Card - Large Print (Spanish) | 05/01/2024 |
| CBC-1005A | DES Contracted Licensed Centers and Group Home Provider CBC Quick Setup (English) | 05/01/2024 |
| FAA-1869A | More Than a Job (English) | 05/01/2024 |
| FAA-1045A-SXLP | How to Use Your Arizona EBT Card - Extra Large Print (Spanish) | 05/01/2024 |
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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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