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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 |
|---|---|---|
| FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
| DDD-1713A-S | DDD Customer Service Center (Spanish) | 06/01/2023 |
| FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
| FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
| FAA-1055A-S | ¡HAGA CORRER LA VOZ! | 06/01/2023 |
| FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
| DDD-2207A | Quick Reference Guide - AHCCCS Eligibility Redeterminations (English/Spanish) | 06/01/2023 |
| FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
| FAA-1788A | Proof of Eligibility Card (English) | 06/01/2023 |
| FAA-1788A-S | Proof of Eligibility Card (Spanish) | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1269A-S | Declaración Jurada del Proveedor de Cuidado de Niños en el Hogar (FCC) Registrado | 08/01/2020 |
| J-020 | Discrimination Complaint- Clients, Applicants and Contractors (English) | 08/01/2020 |
| J-020-S | Discrimination Complaint- Clients, Applicants and Contractors (Spanish) | 08/01/2020 |
| CCA-1269A | Sworn Statement by the Registered Family Child Care (FCC) Provider | 08/01/2020 |
| CCA-0229A-FY21 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2021 (English/Spanish) | 07/01/2020 |
| GCI-1085A | Vision Screening Checklist | 07/01/2020 |
| CSE-1185A | Affidavit of Credible Person Identifying Affiant (English/Spanish) | 07/01/2020 |
| J-930-A | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) (English) | 07/01/2020 |
| OEO-1011A | One-Stop Centers Monitoring Checklist for ADA Compliance | 07/01/2020 |
| GCI-1042A | Family Survey | 07/01/2020 |
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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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