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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.
- You can click on the column headers to sort the search results.
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
| FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
| FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
| FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
| FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
| FAA-1439A-LP | Self-Employment Income Statement - Large Print (English) | 06/01/2023 |
| FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
| FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
| FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
| FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
| FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
| FAA-0620A | Treatment Center Change Report | 05/01/2023 |
| FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
| FAA-0257A | Individual Development Account Agreement (English) | 05/01/2023 |
| FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
| FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
| FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 05/01/2023 |
| FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
| FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| Statistical Bulletin March 2023 | Statistical Bulletin March 2023 | 04/21/2023 |
| LIHEAP Plan FY23 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/19/2023 |
| 30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
| SCSEP State Plan 2020-2023 | Senior Community Service Employment Program (SCSEP) State Plan 2020-2023 | 03/15/2023 |
| Statistical Bulletin February 2023 | Statistical Bulletin February 2023 | 03/10/2023 |
| 30th Month January 2023 | 30th Month Financial Report FY 2023 through January 2023 | 03/06/2023 |
| Statistical Bulletin January 2023 | Statistical Bulletin January 2023 | 02/28/2023 |
| SPP-APR-C FFY2021 | State Performance Plan / Annual Performance Report: Part C FFY 2021 | 02/03/2023 |
| 30th Month December 2022 | 30th Month Financial Report FY 2023 through December 2022 | 01/31/2023 |
| 2022 Homeless Lottery Funds Report | 2022 Homeless Lottery Funds Report | 01/30/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| VR-7.5 | 7.5 Policy Exceptions to Allowable Services | 03/31/2021 |
| VR-9.4 | 9.4 Treatments: Occupational, Physical and Speech | 03/31/2021 |
| VR-12.3 | 12.3 Reader Services | 03/31/2021 |
| VR-2.6 | 2.6 Duty to Report Abuse of a Minor | 03/31/2021 |
| VR-12.4 | 12.4 Interpreting Services | 03/31/2021 |
| VR-16.1 | 16.1 Service Provider Requirements | 03/31/2021 |
| VR-2.7 | 2.7 Voter Registration | 03/31/2021 |
| VR-9.6 | 9.6 Treatments: Dental | 03/31/2021 |
| VR-12.5 | 12.5 Personal Assistance Services | 03/31/2021 |
| VR-2.8 | 2.8 Schedule A Documentation | 03/31/2021 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1331A | Child Care Resource Guide (English) | 07/01/2024 |
| CCA-1327A | Challenging Behavior and Social Emotional Support | 07/01/2024 |
| GCI-1000A | Watch How I Grow (English/Spanish) | 07/01/2024 |
| CCA-1337A | Child Care Assistance Waiting List Information (English) | 07/01/2024 |
| CCA-1327A-S | Challenging Behavior and Social Emotional Support (Spanish) | 07/01/2024 |
| CCA-1331A-S | Child Care Resource Guide (Spanish) | 07/01/2024 |
| DES-1333A | Register to Vote (English) | 07/01/2024 |
| ESA-1349A-S | Migrant and Seasonal Farmworker Orientation (Spanish) | 07/01/2024 |
| DDD-2298A | The Behavioral Health Service Journey (English) | 06/01/2024 |
| CSE-1299A-S | DCSS Resource Customer Guide (Spanish) | 06/01/2024 |
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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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