You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
AH-800 | AHCCCS Information for Applicants | 11/01/2018 |
|
AH-800-S | ¿Qué Servicios Cubre el Seguro de Salud de AHCCCS? | 11/01/2018 |
|
DES-1139A-S | Services Provided by DES (Spanish) | 05/01/2024 |
|
FA-057-FF | Land Operations Office Information Request | 10/01/2005 |
|
FA-065-FFS | Verificación de Arreglos de Vivienda/Dirección Residencial | 07/01/2017 |
|
FAA-0001A | Application for Benefits (English) | 10/01/2024 |
|
FAA-0001A-S | Application for Benefits (Spanish) | 10/01/2024 |
|
FAA-0001B | Application for Benefits Addendum (English) | 01/01/2024 |
|
FAA-0001B-S | Application for Benefits Addendum (Spanish) | 01/01/2024 |
|
FAA-0001C | Assistance Programs, What You Need To Know (English) | 10/01/2024 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
AH-800 | AHCCCS Information for Applicants | 11/01/2018 |
|
AH-800-S | ¿Qué Servicios Cubre el Seguro de Salud de AHCCCS? | 11/01/2018 |
|
FA-057-FF | Land Operations Office Information Request | 10/01/2005 |
|
FA-065-FFS | Verificación de Arreglos de Vivienda/Dirección Residencial | 07/01/2017 |
|
FAA-0001A | Application for Benefits (English) | 10/01/2024 |
|
FAA-0001A-S | Application for Benefits (Spanish) | 10/01/2024 |
|
FAA-0001B | Application for Benefits Addendum (English) | 01/01/2024 |
|
FAA-0001B-S | Application for Benefits Addendum (Spanish) | 01/01/2024 |
|
FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
|
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
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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