You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0155B-S | Determinación de Principal Devengador(a) de Ingresos (PWE por sus siglas en inglés) | 06/01/2023 |
FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
DBS-1085A | AZ ABLE Booklet (English) | 06/01/2023 |
FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
DDD-1713A | DDD Customer Service Center (English) | 06/01/2023 |
FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2023 |
FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
FAA-1439A-LP | Self-Employment Income Statement - Large Print (English) | 06/01/2023 |
CCA-1105A-S | Encuesta de reclamante fiscal | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
GCI-1085A-S | Vision Screening Checklist (Spanish) | 07/01/2020 |
CSE-1185A | Affidavit of Credible Person Identifying Affiant (English/Spanish) | 07/01/2020 |
GCI-1042A | Family Survey | 07/01/2020 |
GCI-1042A-S | Encuesta Familiar | 07/01/2020 |
CSE-1016A | Waiver of Paternity Affidavit (English/Spanish) | 06/01/2020 |
GCI-1084A | Hearing Screening Tracking (English) | 06/01/2020 |
GCI-1084A-S | Hearing Screening Tracking (Spanish) | 06/01/2020 |
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
LCR-1053A | Renewal Application Worksheet (English) | 06/01/2020 |
GCI-1088A-S | Child and Family Assessment Guide for Families (Spanish) | 06/01/2020 |
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