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-1724A-SXLP | Application Signature Pages- Extra Large Print (Spanish) | 07/01/2023 |
FAA-1492A | Authorized Representatives - Rights & Responsibilities (English) | 07/01/2023 |
FAA-1513A-XLP | Time Savings Tips (Extra Large Print) | 07/01/2023 |
FAA-1410A | Grant Diversion Script and Applicant Agreement | 07/01/2023 |
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
FAA-1410A-S | Acuerdo de Solicitante y Guión de Desvío de Subvención | 07/01/2023 |
FAA-1410A-LP | Grant Diversion Script and Applicant Agreement (Large Print) | 07/01/2023 |
FAA-1410A-SLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Grande) | 07/01/2023 |
FAA-1819A | EBT Card Safety and Fraud Prevention | 07/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
FAA-0059A | Authority to Release Records | 06/01/2023 |
FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
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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