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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-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
| FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
| FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
| FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
| FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
| FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
| FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
| FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
| FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
| FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-0060A | Authority to Release Student Information (English) | 05/01/2023 |
| FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
| 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 |
| Number | Document Name | Effective Date |
|---|---|---|
| Rehabilitation Council Annual Report 2022 | Governor's State Rehabilitation Council 2022 Annual Report | 12/08/2022 |
| 30th Month October 2022 | 30th Month Financial Report FY 2023 through October 2022 | 12/02/2022 |
| APS 2022 Year in Review | Adult Protective Services 2022 Year in Review | 11/17/2022 |
| Statistical Bulletin October 2022 | Statistical Bulletin October 2022 | 11/16/2022 |
| Statistical Bulletin August 2022 | Statistical Bulletin August 2022 | 11/07/2022 |
| Statistical Bulletin September 2022 | Statistical Bulletin September 2022 | 11/07/2022 |
| 30th Month September 2022 | 30th Month Financial Report FY 2023 through September 2022 | 11/04/2022 |
| 6AAC5-Article-49 | Five-Year Review Report - DCC Article 49 | 11/01/2022 |
| Draft Aging Plan 2023-2026 | Arizona State Plan on Aging 2023-2026 (English) | 10/03/2022 |
| 30th Month June 2022 | 30th Month Financial Report FY 2022 through June 2022 | 09/22/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| VR-9.6 | 9.6 Treatments: Dental | 03/31/2021 |
| VR-12.6 | 12.6 Child Care Services | 03/31/2021 |
| VR-2.8 | 2.8 Schedule A Documentation | 03/31/2021 |
| VR-11.3 | 11.3 Job Readiness Training | 03/15/2021 |
| DES 1-01-12-01 | Americans with Disabilities Act (ADA) Title 2 Procedures (English) | 02/05/2021 |
| DES 1-01-12 | Americans with Disabilities Act (ADA) Title 2 (English) | 02/05/2021 |
| DES 1-01-12-01S | Americans with Disabilities Act (ADA) Title 2 Procedures (Spanish) | 02/05/2021 |
| DES 1-01-12S | Americans with Disabilities Act (ADA) Title 2 (Spanish) | 02/05/2021 |
| DES-1-92-03-01 | Tribal Government Consultation Procedures | 04/14/2020 |
| DES-1-92-03 | Tribal Government Consultation Policy | 04/14/2020 |
| Number | Document Name | Effective Date |
|---|---|---|
| GCI-1206A-RA | Explaining Family Rights and Dispute Resolution Options AzEIP Programmatic Meeting - March 2024 | 05/03/2024 |
| JOB-1135A-S | Arizona Jobs Program (Spanish) | 05/01/2024 |
| FAA-1812A | FAA Virtual Services Flyer (English) | 05/01/2024 |
| FAA-1812A-S | FAA Virtual Services Flyer (Spanish) | 05/01/2024 |
| FAA-1853A | Nutrition Assistance Programs for Eligible Participants - Color (English) | 05/01/2024 |
| FAA-1853A | Nutrition Assistance Programs for Eligible Participants - Black/White (English) | 05/01/2024 |
| WIO-1250A-S | Referral to SNAP CAN (Spanish) | 05/01/2024 |
| DDD-2292A | Decision-Making for Adults (English) | 05/01/2024 |
| FAA-1853A-S | Nutrition Assistance Programs for Eligible Participants - Color (Spanish) | 05/01/2024 |
| DDD-2285A | Services While Traveling Out of State (English) | 05/01/2024 |
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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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