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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.
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| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
| FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
| FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
| FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
| FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
| FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
| FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
| FAA-1506A | Statement of No Income (English) | 05/01/2023 |
| FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
| FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
| FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
| FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
| FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
| FAA-1494A | Authorized Representative Removal | 05/01/2023 |
| FAA-1725A-S | Verificación de Otros Ingresos | 05/01/2023 |
| FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
| FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
| FAA-1494A-XLP | Authorized Representative Removal (Extra Large Print) | 05/01/2023 |
| FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
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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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