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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
FA-057-FF Land Operations Office Information Request 10/01/2005
FA-020-FF Referral for Social Security Number 06/01/2009
DIR-1022C DES on the GO 01/01/2017
DIR-1022C-S DES en Movimiento 01/01/2017
FA-065-FFS Verificación de Arreglos de Vivienda/Dirección Residencial 07/01/2017
AH-800 AHCCCS Information for Applicants 11/01/2018
AH-800-S ¿Qué Servicios Cubre el Seguro de Salud de AHCCCS? 11/01/2018
FAA-0837A Authorization to Open an IDA 08/01/2019
FAA-1410A Grant Diversion Script and Applicant Agreement 12/01/2019
FAA-1410A-S Acuerdo de Solicitante y Guión de Desvío de Subvención 12/01/2019

Download Number Name Effective Date
FA-057-FF Land Operations Office Information Request 10/01/2005
FA-020-FF Referral for Social Security Number 06/01/2009
FA-065-FFS Verificación de Arreglos de Vivienda/Dirección Residencial 07/01/2017
AH-800 AHCCCS Information for Applicants 11/01/2018
AH-800-S ¿Qué Servicios Cubre el Seguro de Salud de AHCCCS? 11/01/2018
FAA-0837A Authorization to Open an IDA 08/01/2019
FAA-1410A-XLP Grant Diversion Script and Applicant Agreement (Extra Large Print) 12/01/2019
FAA-1410A-XLPS Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Extra Grande) 12/01/2019
FAA-1442A Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información 12/01/2019
FAA-1440A Cash Assistance Benefit Limit Extension Request 12/01/2019

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