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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.
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| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
| FAA-1724A-SLP | Application Signature Pages- Large Print (Spanish) | 07/01/2023 |
| FAA-1724A-SXLP | Application Signature Pages- Extra Large Print (Spanish) | 07/01/2023 |
| FAA-1492A | Authorized Representatives - Rights & Responsibilities (English) | 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 | 07/01/2023 |
| FAA-1410A-S | Acuerdo de Solicitante y Guión de Desvío de Subvención | 07/01/2023 |
| FAA-1410A-LP | Grant Diversion Script and Applicant Agreement (Large Print) | 07/01/2023 |
| FAA-1819A | EBT Card Safety and Fraud Prevention | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1826A | Nutrition Assistance (NA) Authorized Representative Request (English) | 09/01/2024 |
| FAA-1826A-LP | Nutrition Assistance (NA) Authorized Representative Request - Large Print (English) | 09/01/2024 |
| FAA-1826A-SLP | Nutrition Assistance Authorized Representative Request - Large Print (Spanish) | 09/01/2024 |
| FAA-1826A-XLP | Nutrition Assistance (NA) Authorized Representative Request - Extra Large Print (English) | 09/01/2024 |
| FAA-1549A | Merchant Restaurant Meals Program (English) | 09/01/2024 |
| FAA-0412A | Change Report (English) | 10/01/2024 |
| FAA-1821A-SXLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Extra Large Print (Spanish) | 10/01/2024 |
| FAA-0053A-LP | Verification of New/Current Employment - Large Print (English) | 10/01/2024 |
| FAA-1530A-LP | Nutrition Assistance Able Bodied Adult Without Dependents (ABAWD) Time Limits - Large Print (English) | 10/01/2024 |
| FAA-0001A | Application for Benefits (English) | 10/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| Title XIX Reimbursement Rates Study Report 2014 | Annual Title XIX Reimbursement Rates Study Report 2014 | 10/01/2014 |
| Statistical Bulletin September 2014 | Statistical Bulletin September 2014 | 10/16/2014 |
| 30th Month Aug-2015 | 30th Month Report August Fiscal Year 2015 | 10/27/2014 |
| WIA 2013 Annual Report | Arizona PY 13 WIA Title IB Annual Report | 11/14/2014 |
| Statistical Bulletin October 2014 | Statistical Bulletin October 2014 | 11/14/2014 |
| Domestic Violence Monies Dec 2014 | Domestic Violence Monies Dec 2014 (English) | 11/26/2014 |
| Statistical Bulletin November 2014 | Statistical Bulletin November 2014 | 12/15/2014 |
| 2014 Homeless Lottery Funds Report | 2014 Homeless Lottery Funds Report | 12/18/2014 |
| Annual Report on Homelessness 2014 | 23rd Annual Report on Homelessness December 2014 | 12/23/2014 |
| Annual Report 2013-2014 | 2013-2014 DES Annual Report | 12/23/2014 |
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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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