You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 04/01/2025 |
FAA-1249A-LP | Verification of Disability - Large Print (English) | 04/01/2025 |
FAA-1249A | Verification of Disability (English) | 04/01/2025 |
FAA-1208A-XLP | Language Notification Flyer (Extra Large Print) | 03/01/2021 |
FAA-1208A-LP | Language Notification Flyer (Large Print) | 02/01/2021 |
FAA-1208A | Language Notification Flyer | 01/01/2021 |
FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
FAA-1145A | Authorization to Share Information (English/Spanish) | 07/01/2023 |
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
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-1055A | Spread the Word (English) | 03/01/2025 |
FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
FAA-0620A | Treatment Center Change Report | 05/01/2023 |
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (English) | 05/01/2023 |
FAA-0574A-SXLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (Spanish) | 05/01/2023 |
FAA-0574A-SLP | Withdrawal or Stop Benefits/Appeal Request - Large Print (Spanish) | 05/01/2023 |
FAA-0574A-S | Withdrawal or Stop Benefits/Appeal Request (Spanish) | 05/01/2023 |
FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request - Large Print (English) | 05/01/2023 |
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