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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.

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.
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Number	Document Name	Effective Date
FAA-1724A-XLP	Application Signature Pages - Extra Large Print (English)	07/01/2023
FAA-1724A-S	Application Signature Pages (Spanish)	07/01/2023
FAA-1182A	AHCCCS Fraud Prevention Determination Authorization	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-1513A-XLP	Time Savings Tips (Extra Large Print)	07/01/2023
FAA-1148A	Medical Incapacity Statement (Hospitalized Applicant)	07/01/2023
FAA-1724A-SXLP	Application Signature Pages- Extra Large Print (Spanish)	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-1439A-XLP	Self-Employment Income Statement - Extra Large Print (English)	06/01/2023
FAA-0260A	Claim of Sexual Assault or Incest	06/01/2023
FAA-1440A-XLP	Cash Assistance Benefit Limit Extension Request - Extra Large Print (English)	06/01/2023
FAA-0059A-S	Autoridad para Divulgar Expedientes	06/01/2023
FAA-0260A-S	Denuncia de Agresión Sexual o Incesto	06/01/2023
FAA-0837A	Authorization to Open an IDA	06/01/2023
FAA-1111A-LP	Participant Statement Verification Worksheet (Large Print)	06/01/2023
FAA-1055A	Spread the Word	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

Number	Document Name	Effective Date
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
SSBG Plan 2023-2024	Draft SSBG Plan 2023-2024	05/08/2023
30th Month March 2023	30th Month Financial Report FY 2023 through March 2023	05/02/2023
Statistical Bulletin March 2023	Statistical Bulletin March 2023	04/21/2023

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