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Documents Center
Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Find a Document
- Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down.
- Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks.
- You can click on the column headers to sort the search results.
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
| FAA-1725A-S | Verification of Other Income (Spanish) | 05/01/2023 |
| FAA-1546A | Sponsor Deeming Information (English) | 05/01/2023 |
| FAA-0257A | Individual Development Account Agreement (English) | 05/01/2023 |
| FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
| CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
| FAA-1565A | Nutrition Assistance Drug Testing Agreement (English) | 05/01/2023 |
| FAA-1725A | Verification of Other Income (English) | 05/01/2023 |
| FAA-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
| FAA-1768A | Overpayment Compromise Request Form (English) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| UB-217 | Wage / Employment Investigation Request (English) | 01/01/2020 |
| FCT-1000A | Formal Request for Tribal Community | 01/01/2020 |
| UB-217C | Wage Protest (English) | 01/01/2020 |
| FAA-1442A | Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información | 12/01/2019 |
| FAA-0075A | Verification of School Attendance (English) | 12/01/2019 |
| CCA-0218A-S | Sign-In/Sign-Out Record (Spanish) | 10/01/2019 |
| LCR-1034A | Criminal History Self Disclosure Affidavit (English) | 10/01/2019 |
| LCR-1034A-S | Criminal History Self Disclosure Affidavit (Spanish) | 10/01/2019 |
| CCA-0218A | Sign-In/Sign-Out Record (English) | 10/01/2019 |
| CCA-0218B | Sign-In/Sign-Out Record (Extended Version) | 10/01/2019 |
Arizona State Resources
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
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