You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0177A | Claim of Good Cause (English/Spanish) | 06/01/2023 |
FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
FAA-1440A-SXLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (Spanish) | 06/01/2023 |
FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
FAA-1459A | Hopi Tribal TANF Referral Notice | 06/01/2023 |
FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
DDD-1590A | Monthly Invoice Cover Sheet (English) | 02/01/2018 |
CSE-1284A | Parent’s agreement to be bound by genetic test results (English/Spanish) | 02/01/2018 |
LCR-1040A | Health Self-Disclosure/Physician's Statement (English) | 01/01/2018 |
LCR-1040A-S | Health Self-Disclosure/Physician's Statement (Spanish) | 01/01/2018 |
WIO-1061A | Training Provider Monitoring Tool | 01/01/2018 |
PPP-1127A-S | Authorization for Disclosure of Protected Health Information (Spanish) | 01/01/2018 |
DDD-1692A | Prevention and Support Instructor Recertification Packet (English) | 01/01/2018 |
PPP-1127A | Authorization for Disclosure of Protected Health Information (English) | 01/01/2018 |
CS-124 | Application for IV-D Service/Genetic Testing Agreement (English/Spanish) | 12/01/2017 |
DDD-1691A | Article 9 Instructor Application Packet (English) | 11/01/2017 |
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