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Number | Document Name | Effective Date |
---|---|---|
FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
FAA-1208A | Language Notification Flyer | 01/01/2021 |
FAA-1208A-LP | Language Notification Flyer (Large Print) | 02/01/2021 |
FAA-1208A-XLP | Language Notification Flyer (Extra Large Print) | 03/01/2021 |
FAA-1249A | Verification of Disability | 05/01/2023 |
FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
FAA-1366A | Eligibility Requirements | 05/01/2023 |
FAA-1410A | Grant Diversion Script and Applicant Agreement | 07/01/2023 |
FAA-1410A-LP | Grant Diversion Script and Applicant Agreement (Large Print) | 07/01/2023 |
FAA-1410A-S | Acuerdo de Solicitante y Guión de Desvío de Subvención | 07/01/2023 |
FAA-1410A-SLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Grande) | 07/01/2023 |
FAA-1410A-SXLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Extra Grande) | 07/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
30th Month February 2022 | 30th Month Financial Report FY 2022 through February 2022 | 03/29/2022 |
30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
30th Month February 2024 | 30th Month Financial Report FY 2024 through February 2024 | 04/02/2024 |
30th Month Jan 2019 | 30th Month Financial Report FY 2019 through Jan 2019 | 03/21/2019 |
30th Month Jan-2015 | 30th Month Report January Fiscal Year 2015 | 02/27/2015 |
30th Month Jan-2016 | 30th Month Report January Fiscal Year 2016 | 03/10/2016 |
30th Month Jan-2017 | 30th Month Report January Fiscal Year 2017 | 03/14/2017 |
30th Month Jan-2018 | 30th Month Financial Report FY-2018 through Jan-2018 | 03/16/2018 |
30th Month January 2014 | 30th Month Report January Fiscal Year 2014 | 03/06/2014 |
30th Month January 2020 | 30th Month Financial Report FY 2020 through January 2020 | 03/19/2020 |
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