You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
CSE-1061A-S | Establishing Paternity (Spanish) | 05/01/2023 |
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
FAA-1546A | Sponsor Deeming Information (English) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
GCI-1113A | Child Transfer Form | 10/01/2019 |
CSE-1007 | Customer Satisfaction Survey | 09/01/2019 |
RSA-1383A | BEP Training - Applicant Checklist | 09/01/2019 |
RSA-1386A | BEP 8 Step Process | 09/01/2019 |
RSA-1384A | BEP Job-Shadowing Evaluation | 09/01/2019 |
DDD-1532A | Hardship Reduction Request (English) | 09/01/2019 |
CSE-1007A-S | Encuesta de Satisfacción del Cliente | 09/01/2019 |
DDD-1532A-S | Hardship Reduction Request (Spanish) | 09/01/2019 |
DDD-0403A | Reference Request (English) | 09/01/2019 |
UIB-0098A | Eligibility Investigation Record | 08/01/2019 |
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