You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
|
FAA-0257A | Individual Development Account Agreement | 05/01/2023 |
|
FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 05/01/2023 |
|
AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
|
FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
|
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
|
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
|
FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
|
AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
|
FAA-1546A | Sponsor Deeming Information | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
RSA-1382A | BEP Memo | 08/01/2022 |
|
HRP-1041A-S | Programa Suplementario de Comestibles Básicos (CSFP) Aviso de Inscripción en la Lista de Espera | 08/01/2022 |
|
BEP-1010A | Operator Out of State and Instate Travel Procedure | 08/01/2022 |
|
FAA-1570A | Cash Assistance Drug Conviction Sanction Agreement | 08/01/2022 |
|
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-1828A | Provider Determination | 08/01/2022 |
|
HRP-1028A | Application for Benefits (TEFAP, CSFP) | 08/01/2022 |
|
HRP-1032A | Commodity Senior Food Program (CSFP) Informal Dispute Resolution Meeting / Fair Hearing Request | 08/01/2022 |
|
GCI-1147B | Records Request Response (Contractors) | 08/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1807ACRD-S | Volunteer with a Human Rights Committee (Card Spanish) | 03/01/2017 |
|
DIR-1022C | DES on the GO | 01/01/2017 |
|
OBM-1000A | The Office of the Ombudsman | 01/01/2017 |
|
DIR-1022C-S | DES en Movimiento | 01/01/2017 |
|
OBM-1000A-S | La Oficina de Defensor de Cliente | 01/01/2017 |
|
DDD-1795APAMPD | Dental Care Adult (Ages 21+) | 12/01/2016 |
|
DDD-1795APAMS | Cuidado Dental Adulto (Edad 21+) | 12/01/2016 |
|
DDD-1751A | Responsible Driving Information Fact Sheet#6 (English) | 07/01/2016 |
|
DDD-1748B | Strategic Plan 2016-2020 Overview | 07/01/2016 |
|
DDD-1748A | Strategic Plan 2016 - 2020 | 06/01/2016 |
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