You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
|
FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
|
FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
|
FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
|
FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
|
FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 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 |
|
FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
|
FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
|
FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
|
FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
|
FAA-1546A | Sponsor Deeming Information (English) | 05/01/2023 |
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FAA-1546A-S | Sponsor Deeming Information (Spanish) | 05/01/2023 |
|
FAA-1494A-SLP | Remoción de un(a) Representante Autorizado(a) (Letra Grande) | 05/01/2023 |
|
FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
|
FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
|
FAA-1249A | Verification of Disability | 05/01/2023 |
|
FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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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