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Reports, Forms, and Policies

Search here for reports, forms, policies, flyers and pamphlets. These documents provide info about our programs and services.

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Public Records

Visit the Request DES Public Records page to learn how to ask for a record.


Number Document Name Effective Date
FAA-1839A MyFamilyBenefits Postcard (English/Spanish) 06/01/2025
FAA-1701A-XLP Verification of Terminated Employment - Extra Large Print (English) 06/01/2025
FAA-1492A Authorized Representatives - Rights & Responsibilities (English) 06/01/2025
FAA-1701A-LP Verification of Terminated Employment - Large Print (English) 06/01/2025
FAA-1716A Family Assistance Outreach Card (English) 06/01/2025
FAA-1716A-S Family Assistance Outreach Card (Spanish) 06/01/2025
FAA-1819A EBT Card Safety and Fraud Prevention (English) 05/01/2025
FAA-1819A-S EBT Card Safety and Fraud Prevention (Spanish) 05/01/2025
FAA-0620A Treatment Center Change Report (English) 05/01/2025
FAA-1823A Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) 05/01/2025

Number Document Name Effective Date
FAA-1724A-S Application Signature Pages (Spanish) 07/01/2023
FAA-1724A-SLP Application Signature Pages- Large Print (Spanish) 07/01/2023
FAA-1724A-SXLP Application Signature Pages- Extra Large Print (Spanish) 07/01/2023
FAA-1439A-SXLP Self-Employment Income Statement - Extra Large Print (Spanish) 06/01/2023
FAA-1523A Cash Programs Personal Responsibility Agreement (PRA) (English) 06/01/2023
FAA-1439A-XLP Self-Employment Income Statement - Extra Large Print (English) 06/01/2023
FAA-1523A-S Cash Programs Personal Responsibility Agreement (PRA) (Spanish) 06/01/2023
FAA-0837A Authorization to Open an IDA 06/01/2023
FAA-1439A-LP Self-Employment Income Statement - Large Print (English) 06/01/2023
FAA-1439A-SLP Self-Employment Income Statement - Large Print (Spanish) 06/01/2023

Number Document Name Effective Date
ACF-218 QPR FFY2023 Arizona Child Care and Development Block Grant (CCDBG) Quality Progress Report - FY 2023 03/28/2024
Statistical Bulletin February 2024 Statistical Bulletin February 2024 03/20/2024
2023 Annual Report on Homelessness 2023 Annual Report on Homelessness 03/14/2024
2023 Homeless Lottery Funds Report 2023 Homeless Lottery Funds Report 03/14/2024
30th Month January 2024 30th Month Financial Report FY 2024 through January 2024 03/05/2024
30th Month January 2024 30th Month Financial Report FY 2024 through January 2024 03/05/2024
Statistical Bulletin January 2024 Statistical Bulletin January 2024 02/23/2024
ACF-202 TANF Caseload Reduction Report FFY2022 02/22/2024
SPP-APR-C FFY2022 State Performance Plan / Annual Performance Report: Part C FFY 2022 02/06/2024
30th Month December 2023 30th Month Financial Report FY 2024 through December 2023 02/02/2024

Number Document Name Effective Date
VR-2.13 2.13 Credential Attainment Reporting 07/08/2024
DES-1-01-24 Voter Registration Policy 12/29/2023
VR-7.2 7.2 Comparable Benefits 12/30/2022
AzEIP-TBEIS-Policy AzEIP Team-Based Early Intervention Services (TBEIS) Policy Manual 04/01/2022
CCSD-ACP Address Confidentiality Program (ACP) Policy 03/01/2022
CCA-1-01-01-S Suspension and Expulsion Prevention (Spanish) 12/20/2021
CCA-1-01-01 Suspension and Expulsion Prevention (English) 10/01/2021
VR-2.6 2.6 Duty to Report Abuse of a Minor 03/31/2021
VR-16.1 16.1 Service Provider Requirements 03/31/2021
VR-4.2 4.2 Timelines for Individualized Plan for Employment (IPE) Development 03/31/2021

Number Document Name Effective Date
VR-1132A-SLP Your Career: Tools for Success - Large Print (Spanish) 11/01/2025
UIB-1240A-S A Guide to Arizona UI Benefits (Spanish) 11/01/2025
VR-1088A Pre-Employment Transition Services (Pre-ETS) Contractors (English) 11/01/2025
VR-10​8​8A-S ​Pre-Employment Transition Services (Pre-ETS) Contractors (Spanish) 11/01/2025
VR-1132A Your Career: Tools for Success (English) 11/01/2025
VR-1132A-S Your Career: Tools for Success (Spanish) 11/01/2025
HRP-1068A Referral Information for Public Assistance Programs (English/Spanish) 10/01/2025
CCA-0519A Child Care Programs (English) 10/01/2025
DDD-0640A How DDD Eligibility is Determined (English) 10/01/2025
RRP-1012A Refugee Medical Assistance Program (RMA) Provider Manual (English) 10/01/2025

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