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You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services. 

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Download Number Form Name Effective Date
FAA-1506A Customer Statement of No Income 11/01/2018
FAA-1004A Designation of EBT Alternate Card Holder 07/01/2018
FAA-1004A-S Designación de Titular Sustituto para la Tarjeta de EBT 07/01/2018
FAA-1533A Verification of Unfitness for Work for Adults 07/01/2018
FAA-1353A Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance 03/01/2018
FAA-1362A Request for Nutrition Assistance Replacement / Supplement 11/01/2017
FAA-1362A-S Solicitud para reemplazo / suplemento de asistencia nutricional 11/01/2017
FAA-1506A-S Declaración del Cliente de Que No Tiene Ingresos 11/01/2017
FAA-1097A Young Adult Transitional Insurance (YATI) Referral 09/01/2017
FA-065-FFS Verificación de Arreglos de Vivienda/Dirección Residencial 07/01/2017

Download Number Form Name Effective Date
Arizona CSFP State Plan FFY 2018 Arizona CSFP State Plan FFY 2018 09/20/2017
Annual Report on Homelessness 2016 Annual Report on Homelessness 2016 09/01/2017
Statistical Bulletin July 2017 Statistical Bulletin July 2017 08/14/2017
Statistical Bulletin June 2017 Statistical Bulletin June 2017 07/26/2017
30th Month May-2017 30th Month Report May Fiscal Year 2017 07/14/2017
SSBG Plan 2017-2018 Social Services Block Grant Plan 2017-2018 07/01/2017
30th Month Apr-2017 30th Month Report April Fiscal Year 2017 06/21/2017
Statistical Bulletin May 2017 Statistical Bulletin May 2017 06/14/2017
CSA-1075A Domestic Violence Monies Dec 2016 06/01/2017
APS SFY 2016 Adult Protective Services Annual Activity 2016 Report 06/01/2017

No results available.

Download Number Form Name Effective Date
CSE-1276A DCSS Hardship Program 04/01/2019
FAA-1375A Nutrition Assistance Posters 04/01/2019
UIT-1191A Bulk UI Tax Rate Request Process and Information 04/01/2019
WIO-1121A Connecting Business with Job Seekers - Services for Employers 04/01/2019
WIO-1113A Workforce Reentry Program 03/01/2019
AAA-1289A Family Caregiver Support Program 03/01/2019
GCI-1093A-S Lo que debe esperarse de Intervención Temprana basada en equipo 03/01/2019
AAA-1289A-S Programa de Apoyo a los Cuidadores de Familia 03/01/2019
GCI-1093A What to Expect from Team Based Early Intervention 03/01/2019
WIO-1114A Second Chance Centers 03/01/2019


Download Number Form Name Effective Date
FAA-0001A Application for Benefits 07/01/2019
FAA-1439A-XLPS Estado de Pérdidas y Ganancias del Trabajo por Cuenta Propia (Letra Extra Grande) 06/01/2019
FAA-1111A-S Hoja para Verificar la Declaración del Participante 06/01/2019
FAA-1375A Nutrition Assistance Posters 04/01/2019
FNS-252-2 Application for Meal Services 04/01/2019
FAA-0526A Potential Overpayment (OP) Referral 04/01/2019
FAA-1364A Application Processing Procedures 04/01/2019
FAA-1365A Definition of Terms 04/01/2019
FAA-1366A Eligibility Requirements 04/01/2019
FA-559A Food Distribution Program Participation 03/01/2019

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