You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1439A-LP | Self-Employment Income Statement - Large Print (English) | 06/01/2023 |
FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
DDD-1713A-S | DDD Customer Service Center (Spanish) | 06/01/2023 |
FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2023 |
FAA-1788A | Proof of Eligibility Card (English) | 06/01/2023 |
FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
DDD-2207A | Quick Reference Guide - AHCCCS Eligibility Redeterminations (English/Spanish) | 06/01/2023 |
FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
GCI-1042A | Family Survey | 07/01/2020 |
GCI-1042A-S | Encuesta Familiar | 07/01/2020 |
RSA-1390A | Statement of Services Rendered | 07/01/2020 |
GCI-1085A-S | Vision Screening Checklist (Spanish) | 07/01/2020 |
GCI-1085A | Vision Screening Checklist (English) | 07/01/2020 |
SNA-1000A-S | Rights and Responsibilities (Spanish) | 06/01/2020 |
CSE-1314A | Child Supplemental Page (English / Spanish) | 06/01/2020 |
GCI-1118A | Arizona Early Intervention Program Non-DES Employee Training Planning and Tracking Form (English) | 06/01/2020 |
SNA-1000A | Rights and Responsibilities (English) | 06/01/2020 |
GCI-1119A | Standards of Practice Checklist (English) | 06/01/2020 |
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