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-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
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FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
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FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
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FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
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FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
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FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
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FAA-1565A | Nutrition Assistance Drug Testing Agreement | 05/01/2023 |
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FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
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FAA-0126A-S | Preguntas Frecuentes de Asistencia Nutricional | 06/01/2023 |
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FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
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FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
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FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
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FAA-1055A | Spread the Word | 06/01/2023 |
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FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
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FAA-1523A | Cash Programs Personal Responsibility Agreement (PRA) (English) | 06/01/2023 |
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FAA-1523A-S | Cash Programs Personal Responsibility Agreement (PRA) (Spanish) | 06/01/2023 |
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FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
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FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
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FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 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