You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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FAA-0001B | Application for Benefits Addendum (English) | 01/01/2024 |
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FAA-0001B-S | Application for Benefits Addendum (Spanish) | 01/01/2024 |
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FAA-1097B | Foster Care Age Out Tribal Referral Form (English) | 12/01/2023 |
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FAA-1097A | Foster Care Age Out Referral Form (English) | 12/01/2023 |
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FAA-1724A | Application Signature Pages | 07/01/2023 |
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FAA-1492A | Authorized Representatives - Rights & Responsibilities | 07/01/2023 |
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FAA-1724A-LP | Application Signature Pages (Large Print) | 07/01/2023 |
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FAA-1513A-LP | Time Savings Tips (Large Print) | 07/01/2023 |
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FAA-1724A-XLP | Application Signature Pages (Extra Large Print) | 07/01/2023 |
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FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1724A | Application Signature Pages | 07/01/2023 |
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FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
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FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
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FAA-1415A-LP | Illegal Drug Use Statement - Large Print (English) | 07/01/2023 |
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FAA-1724A-LP | Application Signature Pages (Large Print) | 07/01/2023 |
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FAA-1415A | Illegal Drug Use Statement (English) | 07/01/2023 |
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FAA-1724A-XLP | Application Signature Pages (Extra Large Print) | 07/01/2023 |
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FAA-1415A-S | Illegal Drug Use Statement (Spanish) | 07/01/2023 |
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FAA-1724A-S | Páginas de Firma de la Solicitud | 07/01/2023 |
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FAA-1724A-SLP | Páginas de Firma de la Solicitud (Letra Grande) | 07/01/2023 |
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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