You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name |
Effective Date |
---|---|---|---|
|
FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
|
FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
|
FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
|
FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
|
FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
|
CCA-0221A-S | Declaración de Servicios del Proveedor de Cuidado en Casa de Familia | 05/01/2023 |
|
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
|
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
|
FAA-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
|
AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1570A | Cash Assistance Drug Conviction Sanction Agreement | 08/01/2022 |
|
FAA-1828A | Provider Determination | 08/01/2022 |
|
RSA-1382A | BEP Memo | 08/01/2022 |
|
HRP-1052A | CSFP Notice of Action | 08/01/2022 |
|
GCI-1147B | Records Request Response (Contractors) | 08/01/2022 |
|
HRP-1028A-S | Solicitud para Beneficios (TEFAP, CSFP) | 08/01/2022 |
|
HRP-1028A | Application for Benefits (TEFAP, CSFP) | 08/01/2022 |
|
HRP-1052A-S | Aviso de Acción del Programa Suplementario de Comestibles Básicos (CSFP) | 08/01/2022 |
|
HRP-1032A | Commodity Senior Food Program (CSFP) Informal Dispute Resolution Meeting / Fair Hearing Request | 08/01/2022 |
|
HRP-1032A-S | Programa Suplementario de Comestibles Básicos (CSFP) Solicitud para Reunión Informal de Resolución de Disputas / Audiencia Imparcial | 08/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1558A | Choking (Prevention is No Accident!) (English) | 11/01/2011 |
|
AAA-1188A | Long Term Care Ombudsman Manual | 03/23/2011 |
|
Ombudsman Manual | Ombudsman Manual | 03/23/2011 |
|
AAA-1189A | Long Term Care Ombudsman Volunteer Manual | 03/23/2011 |
|
AAA-1100A-S | SCSEP Participant Handbook (Spanish) | 01/01/2011 |
|
Register Data Security | Register for Basic Data Security | 09/27/2007 |
|
AAA-1075A | Assisted Living Residents Rights (English) | 07/01/2005 |
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