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Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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- 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.
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| Download | Number | Name |
Effective Date |
|---|---|---|---|
|
FAA-1410A | Grant Diversion Script and Applicant Agreement | 12/01/2019 |
|
FAA-0177A | Claim of Good Cause (Eng/Span) | 01/01/2020 |
|
FAA-1145A | Authorization to Share Information (English/Spanish) | 01/01/2020 |
|
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 01/01/2020 |
|
FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 01/01/2021 |
|
FAA-1208A | Language Notification Flyer | 01/01/2021 |
|
FAA-1208A-LP | Language Notification Flyer (Large Print) | 02/01/2021 |
|
FAA-1208A-XLP | Language Notification Flyer (Extra Large Print) | 03/01/2021 |
|
FAA-1523A | Cash Programs Personal Responsibility Agreement (PRA) | 08/01/2021 |
|
FAA-1523A-S | Acuerdo de responsabilidad personal (PRA) del programa de asistencia en efectivo | 08/01/2021 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 01/01/2020 |
|
FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 01/01/2021 |
|
FAA-1523A | Cash Programs Personal Responsibility Agreement (PRA) | 08/01/2021 |
|
FAA-1523A-S | Acuerdo de responsabilidad personal (PRA) del programa de asistencia en efectivo | 08/01/2021 |
|
FAA-1097A | Foster Care Age Out Referral | 08/01/2021 |
|
FAA-1701A-XLP | Verification of Terminated Employment (Extra Large Print) | 05/01/2022 |
|
FAA-1055A | Spread the Word | 06/01/2022 |
|
FAA-1494A-SLP | Remoción de un Representante Autorizado (Letra Grande) | 06/01/2022 |
|
FAA-1493A-LP | Nutrition Assistance Authorized Representative Request (Large Print) | 09/01/2022 |
|
FAA-1493A-SXLP | Solicitud de Representante Autorizado(a) (Letra Extra Grande) | 09/01/2022 |
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