You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
|
CCA-1175A | Landlord Permission to Provide Family Child Care Service | 05/01/2023 |
|
AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
|
FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
|
FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
|
FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
|
FAA-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
|
FAA-1765A | Authority to Release Information | 05/01/2023 |
|
CCA-0221A | Family Child Care Provider Statement of Services | 05/01/2023 |
|
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1207A-S | Aviso Sobre Derechos de Monitorización - Verificación de Divulgación | 06/01/2022 |
|
GCI-1095A | Joint Visit Planning Tool | 06/01/2022 |
|
CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
|
HRP-1055A | TEFAP Annual Agreement-CHRP/RFB | 06/01/2022 |
|
UIA-1057A | Arizona Unemployment Insurance Basic Information | 05/01/2022 |
|
UIA-1057A-S | Información básica del Seguro por Desempleo de Arizona | 05/01/2022 |
|
CCA-1211A | Request for Search of Background Checks (English) | 05/01/2022 |
|
UB-195-FF | Affidavit as to Forged Endorsement | 05/01/2022 |
|
UB-195-SFF | Affidavit as to Forged Endorsement (Spanish) | 05/01/2022 |
|
FAA-1701A-XLP | Verification of Terminated Employment - Extra Large Print (English) | 05/01/2022 |
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