Main menu
- About DES
- Services
- Basic Needs
- Adult Protective Services
- Food Assistance
- Nutrition Assistance
- How to Apply for Nutrition Assistance
- Frequently Asked Questions
- Change Report for Nutrition, Cash, and Medical Assistance Benefits
- Electronic Benefits Transfer (EBT) Card
- Health-e-Arizona Plus Application
- Publications for Nutrition, Cash, and Medical Assistance Benefits
- Work Requirements for Able-Bodied Adults Without Dependents
- Double Up Food Bucks
- Student Eligibility for SNAP
- How to Support Health in your Home
- Hunger Relief Programs
- Other Food Programs
- Information for DES Partners
- Other Resources
- Appeals
- Contact DES
- Customer Bill of Rights
- Limited English Proficiency
- Office of Program Evaluation
- USDA Programs Nondiscrimination Statements
- Nutrition Assistance
- Medical Assistance
- Refugee Resettlement
- Shelter and Housing
- Domestic Violence Support
- Sexual Violence Support
- Child and Family
- Disabilities
- Older Adults
- Employment
- Job Seekers
- Reentry Services
- Employer Resources
- Apprenticeship
- Unemployment - Individual
- Apply for UI Benefits
- File Your Weekly UI Claims
- ID.me Identity Verification
- Overpayments
- Reemployment Services and Eligibility Assessment (RESEA)
- Disaster Unemployment Assistance
- Pandemic Unemployment Assistance
- ARIZONA@WORK Employment Resources
- Income Tax Information
- Eligibility for Unemployment Benefits
- Work Search and Your Eligibility for Unemployment Benefits
- How Do I and Frequently Asked Questions
- Forms & Pamphlets
- Contact Arizona UI
- UI Benefit Fraud
- How To File An Appeal For UI Benefits
- UI Data Dashboard
- Working with a Disability
- Employment Service/Related Law Complaint
- Unemployment - Employer
- Applying for an Unemployment Insurance Tax Account Number
- Report Changes to Your Business
- Reporting Wages and Paying Unemployment Insurance Taxes
- Employment Taxes - Calculating Unemployment Taxes
- Unemployment Insurance Tax Forms
- Unemployment Insurance Tax Frequently Asked Questions
- Request UI Records
- Employer Handbook/ Unemployment Tax
- Employer Handbook/ Unemployment Benefit Claims
- AZ Unemployment Insurance Tax Survey
- Contact the Unemployment Tax Office
- Arizona Shared Work Program
- Senior Community Service Employment Program
- Veterans
- Workforce Innovation and Opportunity Act (WIOA)
- Arizona State Monitor Advocate
- Basic Needs
- How do I?
- Do Business with DES?
- Request a Vendor Meeting
- Frequently Asked Questions
- Learn about HIPAA?
- Request Assistance?
- Request DES Records?
- Submit Website Feedback?
- Work for DES?
- ADA Disability Rights/Reasonable Accommodations
- Volunteer?
- File a Discrimination Complaint
- Report Developmental Disabilities Fraud, Waste and Abuse
- Documents Center
- Media Center
- Office Locator
- Report Fraud
×
Error message
An illegal choice has been detected. Please contact the site administrator.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.
- You can click on the column headers to sort the search results.
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1523A | Cash Programs Personal Responsibility Agreement (PRA) (English) | 06/01/2023 |
| FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
| FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
| FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
| FAA-1523A-S | Cash Programs Personal Responsibility Agreement (PRA) (Spanish) | 06/01/2023 |
| FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
| FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2023 |
| FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
| FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
| FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-0059A | Authority to Release Records | 06/01/2023 |
| 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-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
| FAA-1724A-LP | Application Signature Pages - Large Print (English) | 07/01/2023 |
| FAA-1724A-XLP | Application Signature Pages - Extra Large Print (English) | 07/01/2023 |
| FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 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-1724A-SXLP | Application Signature Pages- Extra Large Print (Spanish) | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| Statistical Bulletin November 2013 | Statistical Bulletin November 2013 | 12/13/2013 |
| 30th Month Oct-2014 | 30th Month Report October Fiscal Year 2014 | 12/19/2013 |
| Five Year Strategic Plan SFY 2015 - 2019 | Five Year Strategic Plan SFY 2015 - 2019 | 12/20/2013 |
| 2013 Homeless Lottery Funds Report | 2013 Homeless Lottery Funds Report | 12/30/2013 |
| Annual Report on Homelessness 2013 | 22nd Annual Report on Homelessness December 2013 | 12/30/2013 |
| 30th Month Nov-2014 | 30th Month Report November Fiscal Year 2014 | 01/28/2014 |
| Statistical Bulletin December 2013 | Statistical Bulletin December 2013 | 02/03/2014 |
| Annual Report 2012-2013 | 2012-2013 DES Annual Report | 02/06/2014 |
| 30th Month December 2014 | 30th Month Report December Fiscal Year 2014 | 02/24/2014 |
| TANF Report October 2011 | TANF State Plan Effective October 1, 2011 | 02/25/2014 |
| Number | Document Name | Effective Date |
|---|---|---|
| VR-13.3 | 13.3 Vehicle Modification | 09/30/2022 |
| VR-7.2 | 7.2 Comparable Benefits | 12/30/2022 |
| VR-11.4 | 11.4 Job Related Services | 12/30/2022 |
| VR-8.7 | 8.7 Assessments: Trial Work Experience | 12/30/2022 |
| VR-4.5.4 | 4.5.4 Self-Employment - Business Startup, Progress Monitoring and Closure | 12/30/2022 |
| VR-3.2 | 3.2 Eligibility and Order of Selection | 03/31/2023 |
| DCAD-GRIEVANCES | Grievances Policy | 05/05/2023 |
| VR-12.2 | 12.2 Maintenance | 06/30/2023 |
| VR-12.1 | 12.1 Transportation Services | 06/30/2023 |
| DCAD-LIHWAP-1 | Low Income Household Water Assistance Program Policy - Rev. 7 Sunset | 08/08/2023 |
No results available.
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
© Copyright 2025 DES