You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1546A-S | Información de Determinar a un Patrocinador | 05/01/2023 |
|
CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
|
FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
|
AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
|
FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
|
FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
|
CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
|
FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
|
AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
|
FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
HRP-1016A-S | Confidencialidad del Voluntario | 07/01/2022 |
|
HRP-1039A-S | Programa Suplementario de Comestibles Básicos (CSFP) Derechos y obligaciones del participante | 07/01/2022 |
|
HRP-1015A-S | Annual Civil Rights Training (Spanish) | 07/01/2022 |
|
HRP-1015A | Annual Civil Rights Training (English) | 07/01/2022 |
|
UIB-0101C | Work Search Plan of Action Affidavit (English) | 07/01/2022 |
|
CS-127-PF | Acknowledgment of Paternity (English / Spanish) | 07/01/2022 |
|
HRP-1016A | Volunteer Confidentiality | 07/01/2022 |
|
GCI-1034A | Records Released Log | 06/01/2022 |
|
CCA-1207A-S | Aviso Sobre Derechos de Monitorización - Verificación de Divulgación | 06/01/2022 |
|
CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
Stay up-to-date with news and updates delivered straight to your inbox
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