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An illegal choice has been detected. Please contact the site administrator.Documents Center
Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Find a Document
- Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down.
- Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks.
- You can click on the column headers to sort the search results.
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1208A-LP | Language Notification Flyer (Large Print) | 02/01/2021 |
| FAA-1208A-XLP | Language Notification Flyer (Extra Large Print) | 03/01/2021 |
| FAA-1701A-XLP | Verification of Terminated Employment - Extra Large Print (English) | 05/01/2022 |
| FAA-1828A | Provider Determination (English) | 08/01/2022 |
| FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
| FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 05/01/2023 |
| FAA-1249A | Verification of Disability | 05/01/2023 |
| FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
| FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
| FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
| FAA-0255A | Separate Household Status Statement | 05/01/2023 |
| FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
| FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
| FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
| FAA-1494A-XLP | Authorized Representative Removal (Extra Large Print) | 05/01/2023 |
| FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
| FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
| FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
| FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
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Arizona State Resources
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
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