You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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FAA-1841A | Return to Regular MA Renewals | 09/01/2023 |
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FAA-1573A-LP | Your Rights and Responsibilities (Large Print) | 09/01/2023 |
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DDD-1474A | Division Offices (English/Spanish) | 09/01/2023 |
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FAA-1841A-S | Regreso a Renovaciones Regulares de MA | 09/01/2023 |
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FAA-1573A-SLP | Sus Derechos y Responsabilidades (Letra Grande) | 09/01/2023 |
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CCA-0001A | Application for Child Care Assistance (English) | 09/01/2023 |
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CSE-1277A | Return Documents Form | 09/01/2023 |
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GCI-1143A | AzEIP Transition Timeline (English) | 09/01/2023 |
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DDD-2114A | Application for Redetermination of Eligibility at Age 18 (English) | 09/01/2023 |
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FAA-1573A-XLP | Your Rights and Responsibilities (Extra Large Print) | 09/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
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DDD-2203A | Daily Shift Log (English) | 05/01/2023 |
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CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
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GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
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FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
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GCI-1033A | Transition Conference Summary | 05/01/2023 |
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FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
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FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
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CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
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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