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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-0098A Hearing Request (English) 01/01/2026
FAA-1493A-XLP Authorized Representative Request - Extra Large Print (English) 01/01/2026
FAA-0260A Claim of Sexual Assault or Incest (English) 01/01/2026
FAA-0098C-S EBT Transaction Adjustment Hearing Request (Spanish) 01/01/2026
FAA-1004A-S Designation of EBT Alternate Cardholder (Spanish) 01/01/2026
FAA-0001B Application for Benefits Addendum (English) 01/01/2026
FAA-0260A-S Claim of Sexual Assault or Incest (Spanish) 01/01/2026
FAA-0098C EBT Transaction Adjustment Hearing Request (English) 01/01/2026
FAA-0001B-S Application for Benefits Addendum (Spanish) 01/01/2026
FAA-1459A Hopi Tribal TANF Referral Notice (English) 01/01/2026

Number Document Name Effective Date
FAA-0098A-XLP Hearing Request - Extra Large Print (English) 01/01/2026
FAA-1111A-LP Best Available Information Worksheet - Large Print (English) 12/01/2025
FAA-0259A-S Unwed Minor Parent Abuse/Neglect Claim (Spanish) 12/01/2025
FAA-1111A-XLP Best Available Information Worksheet - Extra Large Print (English) 12/01/2025
FAA-1148A Medical Incapacity Statement (Hospitalized Applicant) (English) 12/01/2025
FAA-1415A-LP Illegal Drug Use Statement - Large Print (English) 12/01/2025
FAA-1353A Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance (English) 12/01/2025
FAA-1353A-S Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance (Spanish) 12/01/2025
FAA-1415A Illegal Drug Use Statement (English) 12/01/2025
FAA-1111A-SXLP Best Available Information Worksheet - Extra Large Print (Spanish) 12/01/2025

Number Document Name Effective Date
Statistical Bulletin November 2024 Statistical Bulletin November 2024 12/10/2024
30th Month October 2024 30th Month Financial Report FY 2025 through October 2024 12/09/2024
APS-1038A Adult Protective Services 2024 Year in Review (English) 12/01/2024
GCBVI 2024 Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2024 11/19/2024
Rehabilitation Council Annual Report 2024 Governor's State Rehabilitation Council 2024 Annual Report 11/19/2024
30th Month September 2024 30th Month Financial Report FY 2025 through September 2024 11/13/2024
Statistical Bulletin October 2024 Statistical Bulletin October 2024 11/08/2024
6AAC5-A33-5YRR-2024 Five-Year Review Report - Achieving A Better Life Experience 11/05/2024
Statistical Bulletin September 2024 Statistical Bulletin September 2024 10/24/2024
30th Month June 2024 30th Month Financial Report FY 2024 through June 2024 10/16/2024

Number Document Name Effective Date
VR-8.2 8.2 Assessments: Audiology/Ear, Nose & Throat (ENT) 07/01/2025
VR-9.8 9.8 Treatments: Medical Equipment 07/01/2025
VR-12.8 12.8 Other Services 07/01/2025
VR-12.1 12.1 Transportation Services 07/01/2025
VR-8.3 8.3 Assessments: Medical/Dental 07/01/2025
VR-10.1 10.1 Post Secondary Education & Training 07/01/2025
VR-12.9 12.9 Client Equipment 07/01/2025
VR-4.5 4.5 Self-Employment IPE 07/01/2025
VR-1.1 1.1 Mission/Vision Statement 07/01/2025
VR-8.4 8.4 Assessments: Comprehensive Neurorehabilitation 07/01/2025

Number Document Name Effective Date
DDD-1715R Fact Sheet: Lice 03/01/2026
AAA-1396A Maricopa County Legal Remedies and Victim Resource Guide for Older Adults (50+) Postcard (English) 03/01/2026
FAA-0001C-S Assistance Programs, What You Need To Know (Spanish) 03/01/2026
AAA-1396A-S Maricopa County Legal Remedies and Victim Resource Guide for Older Adults (50+) Postcard (Spanish) 03/01/2026
GCI-1296A AzEIP Child Outcomes Summary (COS) Data (English) 03/01/2026
AAA-1394A-S Legal Remedies and Victim Resource Guide for Older Adults (50+) (Spanish) 03/01/2026
GCI-1282A ADES/AzEIP FFY 2025 Monitoring Rally January 2026 02/13/2026
APS-1054A Protecting Yourself and Your Family from Scams (English) 02/01/2026
WIO-1264A Need Experienced, Temporary Workers? (English) 02/01/2026
WIO-1264A-S Need Experienced, Temporary Workers? (Spanish) 02/01/2026

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