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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.
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| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
| FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
| FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
| FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
| FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
| FAA-1208A | Language Notification Flyer | 01/01/2021 |
| FAA-1208A-LP | Language Notification Flyer (Large Print) | 02/01/2021 |
| FAA-1208A-XLP | Language Notification Flyer (Extra Large Print) | 03/01/2021 |
| FAA-1249A | Verification of Disability | 05/01/2023 |
| FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
| FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
| FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
| FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
| FAA-1366A | Eligibility Requirements | 05/01/2023 |
| FAA-1410A | Grant Diversion Script and Applicant Agreement | 07/01/2023 |
| FAA-1410A-LP | Grant Diversion Script and Applicant Agreement (Large Print) | 07/01/2023 |
| FAA-1410A-S | Acuerdo de Solicitante y Guión de Desvío de Subvención | 07/01/2023 |
| FAA-1410A-SLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Grande) | 07/01/2023 |
| FAA-1410A-SXLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Extra Grande) | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| 30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
| 30th Month February 2024 | 30th Month Financial Report FY 2024 through February 2024 | 04/02/2024 |
| 30th Month Jan 2019 | 30th Month Financial Report FY 2019 through Jan 2019 | 03/21/2019 |
| 30th Month Jan-2015 | 30th Month Report January Fiscal Year 2015 | 02/27/2015 |
| 30th Month Jan-2016 | 30th Month Report January Fiscal Year 2016 | 03/10/2016 |
| 30th Month Jan-2017 | 30th Month Report January Fiscal Year 2017 | 03/14/2017 |
| 30th Month Jan-2018 | 30th Month Financial Report FY-2018 through Jan-2018 | 03/16/2018 |
| 30th Month January 2014 | 30th Month Report January Fiscal Year 2014 | 03/06/2014 |
| 30th Month January 2020 | 30th Month Financial Report FY 2020 through January 2020 | 03/19/2020 |
| 30th Month January 2021 | 30th Month Financial Report FY 2021 through January 2021 | 03/29/2021 |
| Number | Document Name | Effective Date |
|---|---|---|
| VR-16.1 | 16.1 Service Provider Requirements | 03/31/2021 |
| VR-2.1 | 2.1 Protection, Use, and Release of Client Information | 03/31/2023 |
| VR-2.10 | 2.10 Case Notes | 09/30/2021 |
| VR-2.11 | 2.11 Measurable Skills Gains (MSG) Reporting | 07/08/2024 |
| VR-2.12 | 2.12 Disability Benefits Calculator (DB101) | 03/31/2021 |
| VR-2.13 | 2.13 Credential Attainment Reporting | 07/08/2024 |
| VR-2.2 | 2.2 Address Confidentiality Program (ACP) | 03/31/2021 |
| VR-2.3 | 2.3 Applicant/Client Authorization | 12/30/2022 |
| VR-2.4 | 2.4 Case Record Requirements | 06/30/2022 |
| VR-2.5 | 2.5 Signature and Signature Date Requirements | 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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