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Reports, Forms, and Policies

Search here for reports, forms, policies, flyers and pamphlets. These documents provide info about our programs and services.

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Public Records

Visit the Request DES Public Records page to learn how to ask for a record.


Number Document Name Effective Date
FAA-0001A-LP Application for Benefits - Large Print (English) 10/01/2025
​FAA-0001A-SLP ​Application for Benefits ​- Large Print​ (Spanish) 10/01/2025
FAA-0257A Individual Development Account Agreement (English) 10/01/2025
FAA-0001U ​Notice of Non-Discrimination​ AH-1000 (AHCCCS) ​-​ English​/Spanish 08/01/2025
FAA-1701A-LP Verification of Terminated Employment - Large Print (English) 06/01/2025
FAA-1701A Verification of Terminated Employment (English) 06/01/2025
FAA-1701A-XLP Verification of Terminated Employment - Extra Large Print (English) 06/01/2025
FAA-1839A MyFamilyBenefits Postcard (English/Spanish) 06/01/2025
FAA-1812A FAA Virtual Services Flyer (English) 05/01/2025
FAA-1812A-S FAA Virtual Services Flyer (Spanish) 05/01/2025

Number Document Name Effective Date
FAA-0060A Authority to Release Student Information (English) 12/01/2024
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-1724A Application Signature Pages (English) 07/01/2023
FAA-1724A-LP Application Signature Pages - Large Print (English) 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-1724A-SLP Application Signature Pages- Large Print (Spanish) 07/01/2023
FAA-1724A-SXLP Application Signature Pages- Extra Large Print (Spanish) 07/01/2023
FAA-1439A-S Self-Employment Income Statement (Spanish) 06/01/2023

Number Document Name Effective Date
30th Month May 2024 30th Month Financial Report FY2024 through May 2024 07/12/2024
TANF State Plan 2023 TANF State Plan Effective October 1, 2023 07/12/2024
2024 AzEIP Market Rate Study 2024 AzEIP Market Rate Study, by Milliman 07/05/2024
Statistical Bulletin May 2024 Statistical Bulletin May 2024 06/25/2024
30th Month April 2024 30th Month Financial Report FY 2024 through April 2024 05/30/2024
SFMNP-WIC-State-Plan-2023 Consolidated Senior Farmers’ Market Nutrition Program and WIC Farmers’ Market Nutrition Program State Plan FY23 05/28/2024
SFMNP-WIC-State-Plan-2024 Consolidated Senior Farmers’ Market Nutrition Program and WIC Farmers’ Market Nutrition Program State Plan FY24 05/28/2024
SNAP Plan 2024 Supplemental Nutrition Assistance Program State Plan for FFY24 05/28/2024
SNAP Plan 2022 Supplemental Nutrition Assistance Program State Plan for FFY22 05/28/2024
SFMNP-WIC-State-Plan-2022 Consolidated Senior Farmers’ Market Nutrition Program and WIC Farmers’ Market Nutrition Program State Plan FY22 05/28/2024

Number Document Name Effective Date
VR-1.5 1.5 Informed Choice 07/01/2025
VR-9.5 9.5 Treatments: Psychology/Psychiatric/Mental Health 07/01/2025
VR-12.5 12.5 Personal Assistance Services 07/01/2025
VR-4.8 4.8 RESERVED 07/01/2025
VR-2.7 2.7 Voter Registration 07/01/2025
VR-7.1 7.1 General Services 07/01/2025
VR-9.6 9.6 Treatments: Dental 07/01/2025
DES-1-92-03 Tribal Government Relations Policy 06/30/2025
VR-4.1 4.1 - Reserved 04/21/2025
VR-2.8 2.8 Schedule A Documentation 03/03/2025

Number Document Name Effective Date
SEP-1000A Are you 55 or older, unemployed, and looking for work? (English/Spanish) 02/01/2026
FAA-1866A Add Us to Your Contacts So You Know When to Answer (English/Spanish) 02/01/2026
APS-1054A-S Protecting Yourself and Your Family from Scams (Spanish) 02/01/2026
FAA-1665A Interested in Filing an Application (English) 01/01/2026
FAA-1665A-S Interested in Filing an Application (Spanish) 01/01/2026
GCI-1273A AzEIP Job Aid: Service Coordination Responsibilities 01/01/2026
GCI-1120A Transition Guide for Families: What You Need to Know Before Your Child's Third Birthday (English) 01/01/2026
GCI-1277A AzEIP Job Aid: Identifying a Pathway Forward When Families Cancel (English) 01/01/2026
GCI-1277A-S AzEIP Job Aid: Identifying a Pathway Forward When Families Cancel (Spanish) 01/01/2026
DDD-1715L Fact Sheet: Introduction to Tracheostomy Care and Suctioning 01/01/2026

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