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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-1182A | AHCCCS Fraud Prevention Determination Authorization | 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 |
| FAA-1410A-LP | Grant Diversion Script and Applicant Agreement - Large Print (English) | 07/01/2023 |
| FAA-1410A-SLP | Grant Diversion Script and Applicant Agreement - Large Print (Spanish) | 07/01/2023 |
| FAA-1410A-XLP | Grant Diversion Script and Applicant Agreement - Extra Large Print (English) | 07/01/2023 |
| FAA-1819A | EBT Card Safety and Fraud Prevention | 07/01/2023 |
| FAA-1410A-SXLP | Grant Diversion Script and Applicant Agreement - Extra Large Print (Spanish) | 07/01/2023 |
| FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
| FAA-1724A | Application Signature Pages (English) | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1768A | Overpayment Compromise Request Form (English) | 05/01/2023 |
| FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance (English) | 05/01/2023 |
| FAA-1768A-S | Overpayment Compromise Request Form (Spanish) | 05/01/2023 |
| FAA-1494A-LP | Authorized Representative Removal - Large Print (English) | 05/01/2023 |
| FAA-1506A | Statement of No Income (English) | 05/01/2023 |
| FAA-0620A | Treatment Center Change Report | 05/01/2023 |
| FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (English) | 05/01/2023 |
| FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
| FAA-1565A | Nutrition Assistance Drug Testing Agreement (English) | 05/01/2023 |
| FAA-0574A-SXLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (Spanish) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| 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 |
| 30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| VR-12.6 | 12.6 Child Care Services | 03/31/2021 |
| VR-2.12 | 2.12 Disability Benefits Calculator (DB101) | 03/31/2021 |
| VR-8.1 | 8.1 Assessments: General | 03/31/2021 |
| VR-9.7 | 9.7 Treatments: Neurorehabilitation | 03/31/2021 |
| VR-12.8 | 12.8 Other Services | 03/31/2021 |
| VR-8.2 | 8.2 Assessments: Audiology/Ear, Nose & Throat (ENT) | 03/31/2021 |
| VR-9.8 | 9.8 Treatments: Medical Equipment | 03/31/2021 |
| VR-8.3 | 8.3 Assessments: Medical/Dental | 03/31/2021 |
| VR-1.1 | 1.1 Mission/Vision Statement | 03/31/2021 |
| VR-4.2 | 4.2 Timelines for Individualized Plan for Employment (IPE) Development | 03/31/2021 |
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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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