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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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  1. Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down. 
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Download Number Name
 		Effective Date
FAA-1440A-XLP Cash Assistance Benefit Limit Extension Request (Extra Large Print) 06/01/2023
FAA-1440A Cash Assistance Benefit Limit Extension Request 06/01/2023
FAA-1760A-S Cambios - Lo que tiene que saber 09/01/2023
FAA-0059A-S Autoridad para Divulgar Expedientes 06/01/2023
FAA-1493A-XLP Authorized Representative Request (Extra Large Print) 06/01/2023
FAA-1493A Authorized Representative Request 06/01/2023
FAA-1494A-LP Authorized Representative Removal (Large Print) 05/01/2023
FAA-1494A-XLP Authorized Representative Removal (Extra Large Print) 05/01/2023
FAA-1494A Authorized Representative Removal 05/01/2023
FAA-0837A Authorization to Open an IDA 06/01/2023

Download Number Name Effective Date
FAA-1724A Application Signature Pages 07/01/2023
FAA-0001A-S Application for Benefits (Spanish) 09/01/2023
FAA-0001A Application for Benefits (English) 09/01/2023
AH-800 AHCCCS Information for Applicants 11/01/2018
FAA-1182A AHCCCS Fraud Prevention Determination Authorization 07/01/2023
FAA-1410A-SLP Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Grande) 07/01/2023
FAA-1410A-SXLP Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Extra Grande) 07/01/2023
FAA-1410A-S Acuerdo de Solicitante y Guión de Desvío de Subvención 07/01/2023
FAA-1523A-S Acuerdo de responsabilidad propia (PRA) para programas de asistencia en efectivo 06/01/2023
FAA-1724A-SLP Páginas de Firma de la Solicitud (Letra Grande) 07/01/2023

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