You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1724A | Application Signature Pages (English) | 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-1724A-LP | Application Signature Pages - Large Print (English) | 07/01/2023 |
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
FAA-1724A-XLP | Application Signature Pages - Extra Large Print (English) | 07/01/2023 |
FAA-1724A-S | Application Signature Pages (Spanish) | 07/01/2023 |
FAA-1097B | Foster Care Age Out Tribal Referral Form (English) | 12/01/2023 |
FAA-1097A | Foster Care Age Out Referral Form (English) | 12/01/2023 |
FAA-0001B | Application for Benefits Addendum (English) | 01/01/2024 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1410A-LP | Grant Diversion Script and Applicant Agreement (Large Print) | 07/01/2023 |
FAA-1097B | Foster Care Age Out Tribal Referral Form (English) | 12/01/2023 |
FAA-1097A | Foster Care Age Out Referral Form (English) | 12/01/2023 |
FAA-0001B | Application for Benefits Addendum (English) | 01/01/2024 |
FAA-0001B-S | Application for Benefits Addendum (Spanish) | 01/01/2024 |
FAA-0098A-LP | Hearing Request - Large Print (English) | 09/01/2024 |
FAA-0098A-SLP | Hearing Request - Large Print (Spanish) | 09/01/2024 |
FAA-0098A-XLP | Hearing Request - Extra Large Print (English) | 09/01/2024 |
FAA-0098A | Hearing Request (English) | 09/01/2024 |
FAA-0098A-S | Hearing Request (Spanish) | 09/01/2024 |
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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