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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ESA-1314B | Notification of Complaint to Employer | 10/01/2023 |
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FAA-1847A | Electronic Benefit Theft Replacement Request Form (English) | 10/01/2023 |
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ESA-1314B-S | Notificación de Queja al Empleador | 10/01/2023 |
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EEA-1005A | 2023 Pinal County Roundtable for Agricultural Employers (English) | 10/01/2023 |
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FAA-1847A-S | Electronic Benefit Theft Replacement Request Form (Spanish) | 10/01/2023 |
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DDD-2217A | Business Automobile Liability Waiver | 10/01/2023 |
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DDD-0195B | DDD Member Rights and Responsibilities (English) | 10/01/2023 |
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FAA-1847A-LP | Electronic Benefit Theft Replacement Request Form - Large Print (English) | 10/01/2023 |
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CSE-1158A | Request for Review of Arrears (English) | 10/01/2023 |
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UB-106A | Weekly Claim for Unemployment Insurance (UI) Benefits (English) | 10/01/2023 |
Download | Number | Name | Effective Date |
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FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
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FAA-1506A | Statement of No Income (English) | 05/01/2023 |
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FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
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DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
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CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
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FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
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GCI-1033A | Transition Conference Summary | 05/01/2023 |
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CCA-1170AS | Petición para el Retiro o Terminación de Solicitud - Para Proveedores de Cuidado de Niños | 05/01/2023 |
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FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
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FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
Download | Number | Name | Effective Date |
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30th Month Jan-2017 | 30th Month Report January Fiscal Year 2017 | 03/14/2017 |
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30th Month Nov-2016 | 30th Month Report November Fiscal Year 2017 | 02/27/2017 |
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30th Month Dec-2016 | 30th Month Report December Fiscal Year 2017 | 02/27/2017 |
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Statistical Bulletin January 2017 | Statistical Bulletin January 2017 | 02/01/2017 |
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Annual Report 2015-2016 | 2015-2016 DES Annual Report | 01/03/2017 |
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Statistical Bulletin December 2016 | Statistical Bulletin December 2016 | 01/01/2017 |
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Statistical Bulletin November 2016 | Statistical Bulletin November 2016 | 12/29/2016 |
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30th Month Oct-2016 | 30th Month Report October Fiscal Year 2017 | 12/21/2016 |
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30th Month Sep-2016 | 30th Month Report September Fiscal Year 2017 | 11/30/2016 |
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6AAC12 | Five-Year Review Report – Cash Assistance Program | 11/30/2016 |
Download | Number | Name | Effective Date |
---|---|---|---|
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DDD-0529A | Independent Oversight Committees (English) | 06/01/2022 |
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DDD-0529A-S | Independent Oversight Committees (Spanish) | 06/01/2022 |
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AAA-1394A-S | Maricopa County Legal Remedies and Victim Resource Guide for Elder Abuse (Spanish) | 06/01/2022 |
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UIA-1030A | Shared Work Information for Employers | 06/01/2022 |
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UIA-1030A-S | Información acerca del Trabajo Compartido para los Empleadores | 06/01/2022 |
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AAA-1394A | Maricopa County Legal Remedies and Victim Resource Guide for Elder Abuse (English) | 06/01/2022 |
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RSA-1134A | What is Vocational Rehabilitation? | 06/01/2022 |
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RSA-1134A-LP | What is Vocational Rehabilitation? (Large Print) | 06/01/2022 |
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EAP-1001A | AZDES LIHEAP Energy Conservation Kit Guide | 05/20/2022 |
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AD-475-B | And Justice for all | 05/01/2022 |
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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