You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1439A-LP | Self-Employment Income Statement - Large Print (English) | 06/01/2023 |
FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 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-1840A | Keep Your Benefits Safe | 06/01/2023 |
FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
FAA-0620A | Treatment Center Change Report | 05/01/2023 |
FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
FAA-0620A | Treatment Center Change Report | 05/01/2023 |
FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 05/01/2023 |
FAA-1494A | Authorized Representative Removal | 05/01/2023 |
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
FAA-1004A-XLP | Designation of EBT Alternate Card Holder - Extra Large Print (English) | 05/01/2023 |
FAA-1565A | Nutrition Assistance Drug Testing Agreement | 05/01/2023 |
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 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