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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 |
|---|---|---|
| EAP-1002A | LIHEAP Application (English) | 05/01/2024 |
| GCI-1139A | Indicator 8C: Transition Conference Child File Review Form and Guidance (English) | 05/01/2024 |
| WIO-1250A | Get a Referral to Participate in SNAP CAN | 05/01/2024 |
| GCI-1133A | Indicator 7: 45-Day Timeline Child File Review Form and Guidance (English) | 05/01/2024 |
| GCI-1025A | Serving Families Experiencing Homelessness - Technical Assistance Bulletin (English) | 05/01/2024 |
| FAA-1045A | How to Use Your Arizona EBT Card (English) | 05/01/2024 |
| FAA-1045A-S | How to Use Your Arizona EBT Card (Spanish) | 05/01/2024 |
| EAP-1002A-LP | LIHEAP Application - Large Print (English) | 05/01/2024 |
| GCI-1157B | Record Review Report (English) | 05/01/2024 |
| GCI-1050A-S | AzEIP Prior Written Notice (Spanish) | 05/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-0255A | Separate Household Status Statement | 05/01/2023 |
| CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
| FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
| CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
| FAA-1765A | Authority to Release Information | 05/01/2023 |
| FAA-1725A | Verification of Other Income | 05/01/2023 |
| FAA-1494A-SLP | Remoción de un(a) Representante Autorizado(a) (Letra Grande) | 05/01/2023 |
| FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
| DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
| GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| Statistical Bulletin May 2016 | Statistical Bulletin May 2016 | 06/10/2016 |
| 30th Month Apr-2016 | 30th Month Report April Fiscal Year 2016 | 06/09/2016 |
| 30th Month Mar-2016 | 30th Month Report March Fiscal Year 2016 | 06/07/2016 |
| SNA State Plan 2016 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2016 | 06/01/2016 |
| Statistical Bulletin April 2016 | Statistical Bulletin April 2016 | 05/10/2016 |
| WIA-1046A | Arizona PY 14 WIA Title I-B Annual Report | 05/01/2016 |
| Arizona PY 14 WIA Title I-B Annual Report | WIA 2014 Annual Report | 05/01/2016 |
| WIA 2014 Annual Report | Arizona PY14 WIA Title I-B Annual Report | 05/01/2016 |
| Statistical Bulletin March 2016 | Statistical Bulletin March 2016 | 04/13/2016 |
| 30th Month Feb-2016 | 30th Month Report February Fiscal Year 2016 | 04/11/2016 |
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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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