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-S | Aviso o Recomendación de la Agencia de Educación Pública (PEA) | 05/01/2023 |
|
FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 05/01/2023 |
|
FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
|
CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
|
FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
|
FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
|
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
|
FAA-1565A | Nutrition Assistance Drug Testing Agreement | 05/01/2023 |
|
FAA-0412A-XLP | Change Report - Extra Large Print (English) | 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-S | Acuerdo de Sanción de Asistencia en efectivo (CA) por condena de drogas | 08/01/2022 |
|
DDD-2149A | Authorization to Release Records | 08/01/2022 |
|
FAA-1570A | Cash Assistance Drug Conviction Sanction Agreement | 08/01/2022 |
|
FAA-1828A | Provider Determination | 08/01/2022 |
|
UIB-0101C-S | Declaración Jurada del Plan de Búsqueda de Trabajo | 07/01/2022 |
|
CCA-0231A-2022 | Child Care Assistance Unwed Minor Parent Deeming Worksheet | 07/01/2022 |
|
HRP-1033A | Commodity Senior Food Program (CSFP) ID/Transfer Card (English/Spanish) | 07/01/2022 |
|
HRP-1039A | Commodity Senior Food Program (CSFP) Participant Rights and Obligations | 07/01/2022 |
|
CS-127-PF | Acknowledgment of Paternity (English / Spanish) | 07/01/2022 |
|
HRP-1001A | USDA Commodity Loss Report (CLR) | 07/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1748B-S | Plan Estratégico 2016-2020 Resumen | 06/01/2016 |
|
DDD-1745A-S | Vehicle Safety Buckle Up - Q&A's (Spanish) | 06/01/2016 |
|
UIB-1220A | The Following Information is Required to File a New Application | 06/01/2016 |
|
DDD-1745A | Vehicle Safety Buckle Up - Q&A's (English) | 05/01/2016 |
|
UIB-1219B | How to File Your Weekly Claim (Bilingual) | 04/01/2016 |
|
UIB-1221B | How To Apply for UI Benefits (Bilingual) | 04/01/2016 |
|
DDD-1627A | FACT SHEET - Advance Directives End of Life Care (Eng/Spa) | 06/01/2015 |
|
DDD-1627B | FACT SHEET - Blood Lead Poisoning | 06/01/2015 |
|
DDD-1627C | FACT SHEET - Immunizations (Shots) (English/Spanish) | 06/01/2015 |
|
DDD-1717A | Hot Topics - Heat Hazards | 05/01/2015 |
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