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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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| Download | Number | Name |
Effective Date |
|---|---|---|---|
|
FAA-1410A-XLP | Grant Diversion Script and Applicant Agreement (Extra Large Print) | 07/01/2023 |
|
FAA-1410A-SXLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Extra Grande) | 07/01/2023 |
|
FAA-1724A | Application Signature Pages | 07/01/2023 |
|
FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
|
FAA-1145A | Authorization to Share Information (English/Spanish) | 07/01/2023 |
|
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
|
FAA-1724A-LP | Application Signature Pages (Large Print) | 07/01/2023 |
|
FAA-1724A-XLP | Application Signature Pages (Extra Large Print) | 07/01/2023 |
|
FAA-1493A-SXLP | Solicitud de Representante Autorizado(a) (Letra Extra Grande) | 06/01/2023 |
|
FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-1724A-SLP | Páginas de Firma de la Solicitud (Letra Grande) | 07/01/2023 |
|
FAA-1724A-SXLP | Páginas de Firma de la Solicitud (Letra Extra Grande) | 07/01/2023 |
|
FAA-1145A | Authorization to Share Information (English/Spanish) | 07/01/2023 |
|
FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
|
FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
|
FAA-1439A | Self-Employment Income Statement | 06/01/2023 |
|
FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
|
FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
|
FAA-1439A-S | Declaración de Sueldo de Empleo Por Cuenta Propia | 06/01/2023 |
|
FAA-1440A | Cash Assistance Benefit Limit Extension Request | 06/01/2023 |
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