You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
GCI-1037A | Public Education Agency (PEA) Notification/Referral | 05/01/2023 |
|
GCI-1037A-S | Aviso o Recomendación de la Agencia de Educación Pública (PEA) | 05/01/2023 |
|
AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
|
GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
|
FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
|
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
|
AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
|
FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
|
FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
|
CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
HRP-1053A | CSFP Annual Agreement- CHRP/RFB | 06/01/2022 |
|
DCS-1339A | Request for Administrative Review (Seizure of Property) | 06/01/2022 |
|
CSE-1318A | TANF child supplemental page | 06/01/2022 |
|
CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
|
DCS-1339A-S | Solicitud de Revisión Administrativa (Incautación de Propiedad) | 06/01/2022 |
|
GCI-1046A | Referral Letter | 06/01/2022 |
|
WIO-1040A | Training Provider Assurances | 06/01/2022 |
|
GCI-1046A-S | Carta de referencia | 06/01/2022 |
|
GCI-1034A | Records Released Log | 06/01/2022 |
|
CCA-1271A | Service Consent Form (English) | 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