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 | Self-Employment Income Statement (English) | 06/01/2023 |
FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
FAA-1439A-LP | Self-Employment Income Statement - Large Print (English) | 06/01/2023 |
FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
FAA-0059A | Authority to Release Records | 06/01/2023 |
FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
FAA-0620A | Treatment Center Change Report | 05/01/2023 |
FAA-0060A | Authority to Release Student Information (English) | 05/01/2023 |
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
FAA-1494A | Authorized Representative Removal | 05/01/2023 |
FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
LIHWAP FY23 | Low Income Household Water Assistance Program (LIHWAP) Plan | 05/12/2023 |
SSBG Plan 2023-2024 | Draft SSBG Plan 2023-2024 | 05/08/2023 |
30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
Statistical Bulletin March 2023 | Statistical Bulletin March 2023 | 04/21/2023 |
LIHEAP Plan FY23 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/19/2023 |
30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
SCSEP State Plan 2020-2023 | Senior Community Service Employment Program (SCSEP) State Plan 2020-2023 | 03/15/2023 |
Statistical Bulletin February 2023 | Statistical Bulletin February 2023 | 03/10/2023 |
30th Month January 2023 | 30th Month Financial Report FY 2023 through January 2023 | 03/06/2023 |
Statistical Bulletin January 2023 | Statistical Bulletin January 2023 | 02/28/2023 |
Number | Document Name | Effective Date |
---|---|---|
VR-8.1 | 8.1 Assessments: General | 03/31/2021 |
VR-9.7 | 9.7 Treatments: Neurorehabilitation | 03/31/2021 |
VR-2.12 | 2.12 Disability Benefits Calculator (DB101) | 03/31/2021 |
VR-8.2 | 8.2 Assessments: Audiology/Ear, Nose & Throat (ENT) | 03/31/2021 |
VR-9.8 | 9.8 Treatments: Medical Equipment | 03/31/2021 |
VR-12.8 | 12.8 Other Services | 03/31/2021 |
VR-4.4 | 4.4 Supported Employment IPE Development | 03/31/2021 |
VR-8.3 | 8.3 Assessments: Medical/Dental | 03/31/2021 |
VR-4.1 | 4.1 Legal Ability to Work in the US | 03/31/2021 |
VR-8.4 | 8.4 Assessments: Comprehensive Neurorehabilitation | 03/31/2021 |
Number | Document Name | Effective Date |
---|---|---|
ADDPC-2230A-S | Pathways to the Future: ABLE (Spanish) | 06/01/2024 |
GCI-1208A | Referrals and Initial Phone Call AzEIP Programmatic Meeting | 05/29/2024 |
GCI-1206A-RA | Explaining Family Rights and Dispute Resolution Options AzEIP Programmatic Meeting - March 2024 | 05/03/2024 |
CBC-1005A | DES Contracted Licensed Centers and Group Home Provider CBC Quick Setup (English) | 05/01/2024 |
FAA-1869A | More Than a Job (English) | 05/01/2024 |
FAA-1045A-LP | How to Use Your Arizona EBT Card - Large Print (English) | 05/01/2024 |
FAA-1869A-S | More Than a Job (Spanish) | 05/01/2024 |
FAA-1045A-XLP | How to Use Your Arizona EBT Card - Extra Large Print (English) | 05/01/2024 |
FAA-1045A-S | How to Use Your Arizona EBT Card (Spanish) | 05/01/2024 |
FAA-1814A-S | Customer Informational Packet (Spanish) | 05/01/2024 |
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