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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-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
| FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
| FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
| FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
| FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
| FAA-1439A-LP | Self-Employment Income Statement - Large Print (English) | 06/01/2023 |
| FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
| FAA-0255A | Separate Household Status Statement | 05/01/2023 |
| DES-1139A | Services Provided by DES (English) | 11/01/2024 |
| DES-1139A-S | Services Provided by DES (Spanish) | 05/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
| FAA-0574A | Withdrawal or Stop Benefits/Appeal Request (English) | 05/01/2023 |
| FAA-0574A-S | Withdrawal or Stop Benefits/Appeal Request (Spanish) | 05/01/2023 |
| FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (English) | 05/01/2023 |
| FAA-0574A-SXLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (Spanish) | 05/01/2023 |
| FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request - Large Print (English) | 05/01/2023 |
| FAA-0574A-SLP | Withdrawal or Stop Benefits/Appeal Request - Large Print (Spanish) | 05/01/2023 |
| FAA-1573A | Your Rights and Responsibilities (English) | 10/01/2024 |
| FAA-1573A-S | Your Rights and Responsibilities (Spanish) | 10/01/2024 |
| FAA-1573A-XLP | Your Rights and Responsibilities - Extra Large Print (English) | 10/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| 30th Month Apr-2015 | 30th Month Report April Fiscal Year 2015 | 07/30/2015 |
| 30th Month Apr-2016 | 30th Month Report April Fiscal Year 2016 | 06/09/2016 |
| 30th Month Apr-2017 | 30th Month Report April Fiscal Year 2017 | 06/21/2017 |
| 30th Month Aug-2014 | 30th Month Report August Fiscal Year 2014 | 10/30/2013 |
| 30th Month Aug-2015 | 30th Month Report August Fiscal Year 2015 | 10/27/2014 |
| 30th Month Aug-2016 | 30th Month Report August Fiscal Year 2016 | 10/14/2015 |
| 30th Month Aug-2016 | 30th Month Report August Fiscal Year 2017 | 10/27/2016 |
| 30th Month December 2014 | 30th Month Report December Fiscal Year 2014 | 02/24/2014 |
| 30th Month Dec-2015 | 30th Month Report December Fiscal Year 2015 | 02/27/2015 |
| 30th Month Dec-2016 | 30th Month Report December Fiscal Year 2016 | 02/12/2016 |
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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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