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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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Number	Document Name	Effective Date
FAA-1513A-LP	Time Savings Tips (Large Print)	07/01/2023
FAA-1724A-S	Application Signature Pages (Spanish)	07/01/2023
FAA-1724A-SLP	Application Signature Pages- Large Print (Spanish)	07/01/2023
FAA-1492A	Authorized Representatives - Rights & Responsibilities (English)	07/01/2023
FAA-1182A	AHCCCS Fraud Prevention Determination Authorization	07/01/2023
FAA-1724A-SXLP	Application Signature Pages- Extra Large Print (Spanish)	07/01/2023
FAA-1513A-XLP	Time Savings Tips (Extra Large Print)	07/01/2023
FAA-1148A	Medical Incapacity Statement (Hospitalized Applicant)	07/01/2023
FAA-1410A	Grant Diversion Script and Applicant Agreement (English)	07/01/2023
FAA-1410A-S	Grant Diversion Script and Applicant Agreement (Spanish)	07/01/2023

Number	Document Name	Effective Date
FAA-0260A-S	Denuncia de Agresión Sexual o Incesto	06/01/2023
FAA-1111A-LP	Participant Statement Verification Worksheet (Large Print)	06/01/2023
FAA-0837A	Authorization to Open an IDA	06/01/2023
FAA-1111A-XLP	Participant Statement Verification Worksheet (Extra Large Print)	06/01/2023
FAA-1523A	Cash Programs Personal Responsibility Agreement (PRA) (English)	06/01/2023
FAA-1523A-S	Cash Programs Personal Responsibility Agreement (PRA) (Spanish)	06/01/2023
FAA-0259A-S	Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad	05/01/2023
FAA-0065A-SLP	Verification of Living Arrangements/Residential Address - Large Print (Spanish)	05/01/2023
FAA-0255A	Separate Household Status Statement	05/01/2023
FAA-0574A-S	Withdrawal or Stop Benefits/Appeal Request (Spanish)	05/01/2023

Number	Document Name	Effective Date
Five Year Strategic Plan SFY 2024 - 2028	Five Year Strategic Plan SFY 2024 - 2028	08/31/2023
Statistical Bulletin July 2023	Statistical Bulletin July 2023	08/16/2023
Statistical Bulletin June 2023	Statistical Bulletin June 2023	07/25/2023
GCBVI 2022	Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2022	07/20/2023
CCA Applications & Denials Report	Child Care Assistance Applications and Denials Report	07/07/2023
30th Month May 2023	30th Month Financial Report FY 2023 through May 2023	06/28/2023
Statistical Bulletin May 2023	Statistical Bulletin May 2023	06/22/2023
30th Month April 2023	30th Month Financial Report FY 2023 through April 2023	06/01/2023
Statistical Bulletin April 2023	Statistical Bulletin April 2023	05/17/2023
LIHWAP FY23	Low Income Household Water Assistance Program (LIHWAP) Plan	05/12/2023

No results available.