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Documents Center
Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Find a Document
- Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down.
- Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks.
- You can click on the column headers to sort the search results.
| Number | Document Name | Effective Date |
|---|---|---|
| AAA-1341A | Local Medicare Help | 01/01/2020 |
| WIO-1114A | Second Chance Centers | 01/01/2020 |
| CSE-1313A-S | Sustento para Menores y Empleadores (Volante) | 01/01/2020 |
| CSE-1312A-S | Sustento para Menores y Empleadores (Postal) | 01/01/2020 |
| FCT-1000A | Formal Request for Tribal Community | 01/01/2020 |
| AAA-1341A-S | Ayuda local de Medicare | 01/01/2020 |
| UB-217 | Wage / Employment Investigation Request (English) | 01/01/2020 |
| UB-217C | Wage Protest (English) | 01/01/2020 |
| CSE-1312A | Child Support and Employers (Postcard) | 01/01/2020 |
| CSE-1313A | Child Support and Employers (Flyer) | 01/01/2020 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-0155B | Determination of Primary Wage Earner (PWE) | 06/01/2023 |
| FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
| FAA-0155A-S | Antecedentes de Empleo o Capacitación Reciente | 06/01/2023 |
| FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
| FAA-0155B-S | Determinación de Principal Devengador(a) de Ingresos (PWE por sus siglas en inglés) | 06/01/2023 |
| FAA-0059A | Authority to Release Records | 06/01/2023 |
| FAA-1529A | Verification of Volunteers Hours | 06/01/2023 |
| FAA-1459A | Hopi Tribal TANF Referral Notice | 06/01/2023 |
| FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
| FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-2245A | DDD Eligibility Application Process (English) | 04/01/2025 |
| PPP-1122A | Limited English Proficiency (LEP) Poster (English) | 04/01/2025 |
| FAA-1818A | Nutrition Assistance (NA) Medical Expense Deduction (English) | 04/01/2025 |
| FAA-1871A-S | Get Reminders About Your Nutrition and Cash Assistance Application and Benefits (Spanish) | 04/01/2025 |
| RSA-1242A | Vocational Rehabilitation Transition (English) | 04/01/2025 |
| CCA-1316A-S | Child Care Assistance for Arizona's Educators (Spanish) | 04/01/2025 |
| RSA-1447A | Independent Living Older Blind Program (English) | 04/01/2025 |
| ESA-1332A-S | Work Opportunity Tax Credit (Spanish) | 04/01/2025 |
| FAA-1818A-S | Nutrition Assistance (NA) Medical Expense Deduction (Spanish) | 04/01/2025 |
| RSA-1242A-S | Vocational Rehabilitation Transition (Spanish) | 04/01/2025 |
Arizona State Resources
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
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