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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-0001B | Application for Benefits Addendum (English) | 01/01/2024 |
| FAA-0001B-S | Application for Benefits Addendum (Spanish) | 01/01/2024 |
| FAA-1097B | Foster Care Age Out Tribal Referral Form (English) | 12/01/2023 |
| FAA-1097A | Foster Care Age Out Referral Form (English) | 12/01/2023 |
| FAA-1724A-LP | Application Signature Pages - Large Print (English) | 07/01/2023 |
| FAA-1513A-LP | Time Savings Tips (Large Print) | 07/01/2023 |
| FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
| FAA-1492A | Authorized Representatives - Rights & Responsibilities (English) | 07/01/2023 |
| FAA-1513A-XLP | Time Savings Tips (Extra Large Print) | 07/01/2023 |
| FAA-1410A | Grant Diversion Script and Applicant Agreement | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
| FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
| FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
| FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
| FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
| FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
| FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
| FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
| FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
| FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| 30th Month May 2023 | 30th Month Financial Report FY 2023 through May 2023 | 06/28/2023 |
| Statistical Bulletin May 2023 | Statistical Bulletin May 2023 | 06/22/2023 |
| 30th Month April 2023 | 30th Month Financial Report FY 2023 through April 2023 | 06/01/2023 |
| Statistical Bulletin April 2023 | Statistical Bulletin April 2023 | 05/17/2023 |
| LIHWAP FY23 | Low Income Household Water Assistance Program (LIHWAP) Plan | 05/12/2023 |
| SSBG Plan 2023-2024 | Draft SSBG Plan 2023-2024 | 05/08/2023 |
| 30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
| 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 |
| 30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| VR-8.1 | 8.1 Assessments: General | 03/31/2021 |
| VR-9.7 | 9.7 Treatments: Neurorehabilitation | 03/31/2021 |
| VR-2.12 | 2.12 Disability Benefits Calculator (DB101) | 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 |
| VR-4.4 | 4.4 Supported Employment IPE Development | 03/31/2021 |
| VR-4.1 | 4.1 Legal Ability to Work in the US | 03/31/2021 |
| VR-8.3 | 8.3 Assessments: Medical/Dental | 03/31/2021 |
| VR-4.2 | 4.2 Timelines for Individualized Plan for Employment (IPE) Development | 03/31/2021 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1327A-S | Challenging Behavior and Social Emotional Support (Spanish) | 07/01/2024 |
| CCA-1331A-S | Child Care Resource Guide (Spanish) | 07/01/2024 |
| DES-1333A | Register to Vote (English) | 07/01/2024 |
| DDD-2245A-S | DDD Eligibility Application Process (Spanish) | 07/01/2024 |
| DDD-2245A | DDD Eligibility Application Process (English) | 07/01/2024 |
| CCA-1329A-S | Find Quality Child Care Through CCR&R (Spanish) | 07/01/2024 |
| CCA-1329A | Find Quality Child Care Through CCR&R (English) | 07/01/2024 |
| ESA-1349A-S | Migrant and Seasonal Farmworker Orientation (Spanish) | 07/01/2024 |
| AAA-1431 | Annual World Elder Abuse Awareness Day (WEAAD) Conference Program | 07/01/2024 |
| FAA-1871A-S | Get Reminders About Your Nutrition and Cash Assistance Application and Benefits (Spanish) | 07/01/2024 |
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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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