You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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FAA-0412A-SLP | Change Report - Large Print (Spanish) | 05/01/2023 |
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FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
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FAA-1494A-XLP | Authorized Representative Removal (Extra Large Print) | 05/01/2023 |
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FAA-0412A-S | Change Report (Spanish) | 05/01/2023 |
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FAA-1494A | Authorized Representative Removal | 05/01/2023 |
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FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
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FAA-0412A-XLP | Change Report - Extra Large Print (English) | 05/01/2023 |
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FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
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FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
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FAA-0412A-LP | Change Report - Large Print (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
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FAA-1494A-SLP | Remoción de un(a) Representante Autorizado(a) (Letra Grande) | 05/01/2023 |
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FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
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FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
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FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
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FAA-1701A-XLP | Verification of Terminated Employment - Extra Large Print (English) | 05/01/2022 |
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FAA-1442A | Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información | 12/01/2019 |
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FAA-0075A | Verification of School Attendance/Verificación de Asistencia Escolar | 12/01/2019 |
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AH-800 | AHCCCS Information for Applicants | 11/01/2018 |
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AH-800-S | ¿Qué Servicios Cubre el Seguro de Salud de AHCCCS? | 11/01/2018 |
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FA-065-FFS | Verificación de Arreglos de Vivienda/Dirección Residencial | 07/01/2017 |
Download | Number | Name | Effective Date |
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Statistical Bulletin April 2021 | Statistical Bulletin April 2021 | 04/11/2022 |
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Statistical Bulletin January 2022 | Statistical Bulletin January 2022 | 04/11/2022 |
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Statistical Bulletin January 2021 | Statistical Bulletin January 2021 | 04/11/2022 |
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Statistical Bulletin May 2021 | Statistical Bulletin May 2021 | 04/11/2022 |
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Statistical Bulletin October 2021 | Statistical Bulletin October 2021 | 04/11/2022 |
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Statistical Bulletin September 2020 | Statistical Bulletin September 2020 | 04/11/2022 |
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Statistical Bulletin February 2022 | Statistical Bulletin February 2022 | 04/11/2022 |
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Statistical Bulletin April 2020 | Statistical Bulletin April 2020 | 04/11/2022 |
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Statistical Bulletin November 2021 | Statistical Bulletin November 2021 | 04/11/2022 |
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Statistical Bulletin May 2020 | Statistical Bulletin May 2020 | 04/11/2022 |
Download | Number | Name | Effective Date |
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VR-9.2 | 9.2 Treatments: Cochlear/BAHA | 03/31/2021 |
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VR-11.3 | 11.3 Job Readiness Training | 03/15/2021 |
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DES 1-01-34 | Limited English Proficiency | 02/05/2021 |
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DES 1-01-12-01 | Americans with Disabilities Act (ADA) Title 2 Procedures (English) | 02/05/2021 |
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DES 1-01-34-01 | Limited English Profiency Procedures | 02/05/2021 |
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DES 1-01-12 | Americans with Disabilities Act (ADA) Title 2 (English) | 02/05/2021 |
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DES 1-01-12-01S | Americans with Disabilities Act (ADA) Title 2 Procedures (Spanish) | 02/05/2021 |
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DES 1-01-12S | Americans with Disabilities Act (ADA) Title 2 (Spanish) | 02/05/2021 |
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DES-1-92-03 | Tribal Government Consultation Policy | 04/14/2020 |
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DES-1-92-03-01 | Tribal Government Consultation Procedures | 04/14/2020 |
Download | Number | Name | Effective Date |
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DDD-2232A | Naloxone to Treat Opioid Overdose/Naloxona para Tratar la Sobredosis de Opioides (English/Spanish) | 08/01/2023 |
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ADDPC-2225A-S | Pathways to the Future: Career and Technical Education (Spanish) | 08/01/2023 |
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CCA-1302A-S | Verificación de Antecedentes para Proveedores de Cuidado Infantil - Preguntas Frecuentes | 08/01/2023 |
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ADDPC-2225A | Pathways to the Future: Career and Technical Education | 08/01/2023 |
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ADDPC-2226A | Pathways to the Future: Apprenticeships | 08/01/2023 |
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RSA-1463A | Windmills Disability Awareness Training (English) | 08/01/2023 |
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CCA-1318A | Arizona Child Care Assistance Provider Decision Tool | 08/01/2023 |
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GCI-1168A-S | Decision Tree for Child Indicator Summary Rating Discussions (Spanish) | 08/01/2023 |
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DDD-2234A | DDD Eligibility for Children Ages 3 to 6 Years (English/Spanish) | 08/01/2023 |
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ADDPC-2230A | Pathways to the Future: ABLE | 08/01/2023 |
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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