You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
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 |
FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
FAA-1097B | Foster Care Age Out Tribal Referral Form (English) | 12/01/2023 |
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 | 06/01/2023 |
FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
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 (Large Extra Print) | 05/01/2023 |
FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
Stay up-to-date with news and updates delivered straight to your inbox
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