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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-1724A | Application Signature Pages (English) | 07/01/2023 |
| FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 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-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 |
| FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
| FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1768A-S | Overpayment Compromise Request Form (Spanish) | 05/01/2023 |
| FAA-1494A-LP | Authorized Representative Removal - Large Print (English) | 05/01/2023 |
| FAA-0620A | Treatment Center Change Report | 05/01/2023 |
| FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
| FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (English) | 05/01/2023 |
| FAA-1494A | Authorized Representative Removal (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 |
| 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 |
| Number | Document Name | Effective Date |
|---|---|---|
| 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 |
| LIHEAP Plan FY23 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/19/2023 |
| 30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
| SCSEP State Plan 2020-2023 | Senior Community Service Employment Program (SCSEP) State Plan 2020-2023 | 03/15/2023 |
| Statistical Bulletin February 2023 | Statistical Bulletin February 2023 | 03/10/2023 |
| 30th Month January 2023 | 30th Month Financial Report FY 2023 through January 2023 | 03/06/2023 |
| Statistical Bulletin January 2023 | Statistical Bulletin January 2023 | 02/28/2023 |
| SPP-APR-C FFY2021 | State Performance Plan / Annual Performance Report: Part C FFY 2021 | 02/03/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| 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-12.8 | 12.8 Other Services | 03/31/2021 |
| VR-4.4 | 4.4 Supported Employment IPE Development | 03/31/2021 |
| VR-8.3 | 8.3 Assessments: Medical/Dental | 03/31/2021 |
| VR-4.1 | 4.1 Legal Ability to Work in the US | 03/31/2021 |
| VR-8.4 | 8.4 Assessments: Comprehensive Neurorehabilitation | 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 |
| VR-11.3 | 11.3 Job Readiness Training | 03/15/2021 |
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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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