You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2023 |
FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
FAA-0177A | Claim of Good Cause (English/Spanish) | 06/01/2023 |
FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1494A | Authorized Representative Removal (English) | 05/01/2023 |
FAA-1565A | Nutrition Assistance Drug Testing Agreement (English) | 05/01/2023 |
FAA-1565A-S | Nutrition Assistance Drug Testing Agreement (Spanish) | 05/01/2023 |
FAA-1353A-S | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance (Spanish) | 05/01/2023 |
FAA-0574A | Withdrawal or Stop Benefits/Appeal Request (English) | 05/01/2023 |
FAA-1366A | Eligibility Requirements | 05/01/2023 |
FAA-1494A-SXLP | Authorized Representative Removal - Extra Large Print (Spanish) | 05/01/2023 |
FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
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