You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
FAA-1506A | Statement of No Income (English) | 05/01/2023 |
FAA-1494A-XLP | Authorized Representative Removal (Extra Large Print) | 05/01/2023 |
FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
FAA-1494A-SLP | Remoción de un(a) Representante Autorizado(a) (Letra Grande) | 05/01/2023 |
FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
FAA-1494A | Authorized Representative Removal | 05/01/2023 |
FAA-1493A-XLP | Authorized Representative Request - Extra Large Print (English) | 10/01/2024 |
FAA-1493A-SXLP | Authorized Representative Request - Extra Large Print (Spanish) | 10/01/2024 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1410A | Grant Diversion Script and Applicant Agreement | 07/01/2023 |
FAA-1366A | Eligibility Requirements | 05/01/2023 |
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
FAA-1249A | Verification of Disability | 05/01/2023 |
FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 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