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Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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| Download |
Number |
Name | Effective Date |
|---|---|---|---|
|
FAA-1004A | Designation of EBT Alternate Card Holder | 08/01/2021 |
|
FAA-1004A-S | Designación de Titular Sustituto para la Tarjeta de EBT | 08/01/2021 |
|
FAA-1004A-SLP | Designación de Titular Sustituto para la Tarjeta de EBT (Letra Grande) | 08/01/2021 |
|
FAA-1004A-SXLP | Designación de Titular Sustituto para la Tarjeta de EBT (Letra Extra Grande) | 08/01/2021 |
|
FAA-1004A-XLP | Designation of EBT Alternate Card Holder (Extra Large Print) | 08/01/2021 |
|
FAA-1045A | How to Use Your Arizona EBT Card | 02/01/2022 |
|
FAA-1045A-LP | How to Use Your Arizona EBT Card (Large Print) | 02/01/2022 |
|
FAA-1045A-S | Cómo Usar su Tarjeta EBT de Arizona | 02/01/2022 |
|
FAA-1045A-SLP | Cómo Usar su Tarjeta EBT de Arizona (Letra Grande) | 02/01/2022 |
|
FAA-1045A-SXLP | Cómo Usar su Tarjeta EBT de Arizona (Letra Extra Grande) | 02/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-1111A-S | Hoja para Verificar la Declaración del Participante | 11/01/2022 |
|
FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 11/01/2022 |
|
FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 11/01/2022 |
|
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 11/01/2022 |
|
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 01/01/2020 |
|
FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 01/01/2021 |
|
FAA-1249A | Verification of Disability | 08/01/2021 |
|
FAA-1249A-LP | Verification of Disability (Large Print) | 08/01/2021 |
|
FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 08/01/2021 |
|
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 03/01/2018 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
30th Month December 2019 | 30th Month Financial Report FY 2019 through December 2019 | 02/14/2020 |
|
30th Month December 2020 | 30th Month Financial Report FY 2021 through December 2020 | 03/26/2021 |
|
30th Month December 2021 | 30th Month Financial Report FY 2022 through December 2021 | 01/31/2022 |
|
30th Month December 2022 | 30th Month Financial Report FY 2023 through December 2022 | 01/31/2023 |
|
30th Month Feb 2019 | 30th Month Financial Report FY 2019 through Feb 2019 | 05/13/2019 |
|
30th Month Feb-2015 | 30th Month Report February Fiscal Year 2015 | 04/29/2015 |
|
30th Month Feb-2016 | 30th Month Report February Fiscal Year 2016 | 04/11/2016 |
|
30th Month Feb-2017 | 30th Month Report February Fiscal Year 2017 | 04/18/2017 |
|
30th Month Feb-2018 | 30th Month Financial Report FY-2018 through Feb-2018 | 03/30/2018 |
|
30th Month February 2014 | 30th Month Report February Fiscal Year 2014 | 04/02/2014 |
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