You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0001C | Assistance Programs, What You Need To Know (English) | 10/01/2024 |
FAA-1724A-LP | Application Signature Pages (Large Print) | 07/01/2023 |
FAA-1724A-XLP | Application Signature Pages (Extra Large Print) | 07/01/2023 |
FAA-1724A | Application Signature Pages | 07/01/2023 |
FAA-0001B-S | Application for Benefits Addendum (Spanish) | 01/01/2024 |
FAA-0001B | Application for Benefits Addendum (English) | 01/01/2024 |
FAA-0001A-S | Application for Benefits (Spanish) | 10/01/2024 |
FAA-0001A | Application for Benefits (English) | 10/01/2024 |
AH-800 | AHCCCS Information for Applicants | 11/01/2018 |
FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1724A-SLP | Páginas de Firma de la Solicitud (Letra Grande) | 07/01/2023 |
FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
FAA-1145A | Authorization to Share Information (English/Spanish) | 07/01/2023 |
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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