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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-1494A-S Authorized Representative Removal (Spanish) 01/01/2026
FAA-1494A Authorized Representative Removal (English) 01/01/2026
FAA-1004A-SXLP Designation of EBT Alternate Cardholder - Extra Large Print (Spanish) 01/01/2026
FAA-1353A-S Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance (Spanish) 12/01/2025
FAA-1410A Grant Diversion Script and Applicant Agreement (English) 12/01/2025
FAA-0259A Unwed Minor Parent Abuse/Neglect Claim (English) 12/01/2025
FAA-1410A-S Grant Diversion Script and Applicant Agreement (Spanish) 12/01/2025
FAA-0259A-S Unwed Minor Parent Abuse/Neglect Claim (Spanish) 12/01/2025
FAA-1410A-LP Grant Diversion Script and Applicant Agreement - Large Print (English) 12/01/2025
FAA-1415A-LP Illegal Drug Use Statement - Large Print (English) 12/01/2025

Number Document Name Effective Date
FAA-1111A-SXLP Best Available Information Worksheet - Extra Large Print (Spanish) 12/01/2025
FAA-1410A Grant Diversion Script and Applicant Agreement (English) 12/01/2025
FAA-1415A-S Illegal Drug Use Statement (Spanish) 12/01/2025
FAA-1111A-SLP Best Available Information Worksheet - Large Print (Spanish) 12/01/2025
FAA-1410A-S Grant Diversion Script and Applicant Agreement (Spanish) 12/01/2025
FAA-1768A Overpayment Compromise Request Form (English) 12/01/2025
FAA-1410A-LP Grant Diversion Script and Applicant Agreement - Large Print (English) 12/01/2025
FAA-1768A-S Overpayment Compromise Request Form (Spanish) 12/01/2025
FAA-1111A Best Available Information Worksheet (English) 12/01/2025
FAA-1410A-SLP Grant Diversion Script and Applicant Agreement - Large Print (Spanish) 12/01/2025

Number Document Name Effective Date
30th Month August 2024 30th Month Financial Report FY 2025 through August 2024 10/11/2024
6AAC9-5YRR Five-Year Review Report - Appellate Service Administration 10/01/2024
SFMNP-WIC-FMNP Seniors Farmer's Market Nutrition Program (SFMNP) and the WIC Farmer's Market Nutrition (FMNP) Program Policy and Procedure Manual 10/01/2024
Statistical Bulletin August 2024 Statistical Bulletin August 2024 09/30/2024
GCI-1220A Initial Child and Family Assessment AzEIP Programmatic Meeting-July 2024 (English) 09/23/2024
FY2026-Budget Fiscal Year 2026 DES Budget Request 09/09/2024
DES Welfare-2024 2024 Annual Welfare Reform Report 09/01/2024
Five Year Strategic Plan SFY 2025 - 2029 Five Year Strategic Plan SFY 2025 - 2029 08/09/2024
Statistical Bulletin July 2024 Statistical Bulletin July 2024 08/07/2024
30th Month July 2024 30th Month Financial Report FY 2025 through July 2024 07/30/2024

Number Document Name Effective Date
VR-8.4 8.4 Assessments: Comprehensive Neurorehabilitation 07/01/2025
VR-10.2 10.2 On the Job Training (OJT) 07/01/2025
VR-13.4 13.4 Home Modification 07/01/2025
VR-4.5.1 4.5.1 Self-Employment - Assessment, Business Concept Overview Development, Review and Approval Process 07/01/2025
VR-4.3 4.3 IPE Development 07/01/2025
VR-8.5 8.5 Assessments: Psychology/Psychiatric/Mental Health 07/01/2025
VR-10.3 10.3 Basic Education & Literacy 07/01/2025
VR-13.5 13.5 Hearing Aids 07/01/2025
VR-4.5.2 4.5.2 Self-Employment IPE Development, Technical Assistance and Business Plan Development 07/01/2025
VR-3.2 3.2 Eligibility and Order of Selection 07/01/2025

Number Document Name Effective Date
DDD-1260A Navigating the System (English) 02/01/2026
DDD-1260A-S Navigating the System (Spanish) 02/01/2026
SEP-1000A Are you 55 or older, unemployed, and looking for work? (English/Spanish) 02/01/2026
APS-1054A-S Protecting Yourself and Your Family from Scams (Spanish) 02/01/2026
HRP-1064A The Commodity Senior Food Program (English/Spanish) 02/01/2026
WIO-1264A Need Experienced, Temporary Workers? (English) 02/01/2026
WIO-1293A Work Opportunity Tax Credit (WOTC) (English/Spanish) 02/01/2026
UIT-1283A Unemployment Insurance Tax System Employer Guide (English) 02/01/2026
WIO-1264A-S Need Experienced, Temporary Workers? (Spanish) 02/01/2026
DDD-1715M Fact Sheet: Contraception 02/01/2026

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