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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 |
|---|---|---|
| 30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
| FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
| FAA-1494A | Authorized Representative Removal (English) | 05/01/2023 |
| FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
| AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
| FAA-1506A | Statement of No Income (English) | 05/01/2023 |
| FAA-1725A | Verification of Other Income | 05/01/2023 |
| FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
| FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
| AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-0221A-LP | Spending Plan - Large Print (English) | 02/01/2020 |
| CSE-1157A | Non-Custodial Parent Request for Administrative Review (English/Spanish) | 02/01/2020 |
| LCR-1033A | Life-Safety Inspection Request (English) | 02/01/2020 |
| DDD-0221A-SLP | Spending Plan - Large Print (Spanish) | 02/01/2020 |
| DDD-0221A | Spending Plan (English) | 02/01/2020 |
| GCI-1115A | Acknowledgement of Child and Family Rights | 02/01/2020 |
| DDD-0221A-S | Spending Plan (Spanish) | 02/01/2020 |
| GCI-1115A-S | Confirmación del Folleto acerca de los Derechos del Menor y la Familia | 02/01/2020 |
| UB-217 | Wage / Employment Investigation Request (English) | 01/01/2020 |
| UB-217C | Wage Protest (English) | 01/01/2020 |
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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