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Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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- 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.
| Download | Number | Name |
Effective Date |
|---|---|---|---|
|
FAA-1493A-S | Solicitud de Representante Autorizado(a) | 06/01/2023 |
|
FAA-1821A-SLP | Solicitud de Asistencia Nutricional Proyecto de Solicitud Simplificada para Personas de Tercera Edad (ESAP por sus siglas en inglés) (Letra Grande) | 06/01/2023 |
|
FAA-1493A-LP | Nutrition Assistance Authorized Representative Request (Large Print) | 06/01/2023 |
|
FAA-1439A-XLP | Self-Employment Income Statement (Extra Large Print) | 06/01/2023 |
|
FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request (Extra Large Print) | 06/01/2023 |
|
FAA-1821A-XLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application (Extra Large Print) | 06/01/2023 |
|
FAA-1439A-LP | Self-Employment Income Statement (Large Print) | 06/01/2023 |
|
FAA-1724A-LP | Application Signature Pages (Large Print) | 07/01/2023 |
|
FAA-1492A | Authorized Representatives - Rights & Responsibilities | 07/01/2023 |
|
FAA-1724A-XLP | Application Signature Pages (Extra Large Print) | 07/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
|
FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
|
FAA-1724A-LP | Application Signature Pages (Large Print) | 07/01/2023 |
|
FAA-1415A-LP | Illegal Drug Use Statement (Large Print) | 07/01/2023 |
|
FAA-1724A-XLP | Application Signature Pages (Extra Large Print) | 07/01/2023 |
|
FAA-0001A | Application for Benefits | 09/01/2023 |
|
FAA-0001A-S | Solicitud de Beneficios | 09/01/2023 |
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