You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
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FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
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FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
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FAA-1055A | Spread the Word | 06/01/2023 |
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FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
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FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
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FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
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FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
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FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
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FAA-0059A | Authority to Release Records | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
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FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
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FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
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FAA-0412A-S | Change Report (Spanish) | 05/01/2023 |
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FAA-1506A | Statement of No Income (English) | 05/01/2023 |
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FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
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FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
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FAA-0412A-XLP | Change Report - Extra Large Print (English) | 05/01/2023 |
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FAA-0060A | Authority to Release Student Information (English) | 05/01/2023 |
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FAA-0620A | Treatment Center Change Report | 05/01/2023 |
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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