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-1410A-LP | Grant Diversion Script and Applicant Agreement (Large Print) | 07/01/2023 |
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FAA-1410A-SLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Grande) | 07/01/2023 |
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FAA-1819A | EBT Card Safety and Fraud Prevention | 07/01/2023 |
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FAA-1415A | Illegal Drug Use Statement (English) | 07/01/2023 |
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FAA-1410A-XLP | Grant Diversion Script and Applicant Agreement (Extra Large Print) | 07/01/2023 |
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FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
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FAA-1415A-S | Illegal Drug Use Statement (Spanish) | 07/01/2023 |
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FAA-1410A-SXLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Extra Grande) | 07/01/2023 |
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FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
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FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
Download | Number | Name | Effective Date |
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FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
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FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
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FAA-1493A-SXLP | Authorized Representative Request - Extra Large Print (Spanish) | 06/01/2023 |
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FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
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FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
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FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
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FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
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FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
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FAA-1523A | Cash Programs Personal Responsibility Agreement (PRA) (English) | 06/01/2023 |
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FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
Download | Number | Name | Effective Date |
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Five Year Strategic Plan SFY 2024 - 2028 | Five Year Strategic Plan SFY 2024 - 2028 | 08/31/2023 |
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Statistical Bulletin July 2023 | Statistical Bulletin July 2023 | 08/16/2023 |
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Statistical Bulletin June 2023 | Statistical Bulletin June 2023 | 07/25/2023 |
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GCBVI 2022 | Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2022 | 07/20/2023 |
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CCA Applications & Denials Report | Child Care Assistance Applications and Denials Report | 07/07/2023 |
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30th Month May 2023 | 30th Month Financial Report FY 2023 through May 2023 | 06/28/2023 |
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Statistical Bulletin May 2023 | Statistical Bulletin May 2023 | 06/22/2023 |
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30th Month April 2023 | 30th Month Financial Report FY 2023 through April 2023 | 06/01/2023 |
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Statistical Bulletin April 2023 | Statistical Bulletin April 2023 | 05/17/2023 |
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LIHWAP FY23 | Low Income Household Water Assistance Program (LIHWAP) Plan | 05/12/2023 |
Download | Number | Name | Effective Date |
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VR-12.6 | 12.6 Child Care Services | 03/31/2021 |
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VR-2.8 | 2.8 Schedule A Documentation | 03/31/2021 |
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VR-2.12 | 2.12 Disability Benefits Calculator (DB101) | 03/31/2021 |
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VR-8.1 | 8.1 Assessments: General | 03/31/2021 |
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VR-9.7 | 9.7 Treatments: Neurorehabilitation | 03/31/2021 |
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VR-12.8 | 12.8 Other Services | 03/31/2021 |
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VR-4.4 | 4.4 Supported Employment IPE Development | 03/31/2021 |
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VR-8.2 | 8.2 Assessments: Audiology/Ear, Nose & Throat (ENT) | 03/31/2021 |
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VR-9.8 | 9.8 Treatments: Medical Equipment | 03/31/2021 |
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VR-4.1 | 4.1 Legal Ability to Work in the US | 03/31/2021 |
Download | Number | Name | Effective Date |
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DDD-2292A-S | Decision-Making for Adults (Spanish) | 05/01/2024 |
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FAA-1853A-S | Nutrition Assistance Programs for Eligible Participants - Black/White (Spanish) | 05/01/2024 |
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FAA-1812A-S | FAA Virtual Services Flyer (Spanish) | 05/01/2024 |
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DDD-2285A | Services While Traveling Out of State (English) | 05/01/2024 |
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GCI-1157C | Instructions for Completing the Record Review Report/Prior Written Notice (English) | 05/01/2024 |
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DDD-2285A-S | Services While Traveling Out of State (Spanish) | 05/01/2024 |
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DDD-2286A | How to Apply for An Arizona State Identification (ID) Card (English) | 05/01/2024 |
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FAA-1045A | How to Use Your Arizona EBT Card (English) | 05/01/2024 |
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CBC-1000A-S | Arizona Centralized Background Checks (CBC) - Individual User Guide (Spanish) | 05/01/2024 |
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FAA-1045A-S | How to Use Your Arizona EBT Card (Spanish) | 05/01/2024 |
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