You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1724A-S | Application Signature Pages (Spanish) | 07/01/2023 |
FAA-1724A-SLP | Application Signature Pages- Large Print (Spanish) | 07/01/2023 |
FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
FAA-1724A-SXLP | Application Signature Pages- Extra 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-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
FAA-1494A | Authorized Representative Removal | 05/01/2023 |
FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
FAA-1565A | Nutrition Assistance Drug Testing Agreement | 05/01/2023 |
FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
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