Arizona Department of Economic Security
Your Partner for a Stronger Arizona

AZ At Work Logo

Main menu

×

Error message

  • An illegal choice has been detected. Please contact the site administrator.
  • 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

  1. 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. 
  2. 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. 
  3. You can click on the column headers to sort the search results.


Download Number Name Effective Date
FAA-1004A-SXLP Designación de Titular Sustituto para la Tarjeta de EBT (Letra Extra Grande) 05/01/2023
FAA-0574A-SLP Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) 05/01/2023
FAA-0574A-S Retirar o Suspender Beneficios/Solicitud de Apelación 05/01/2023
FAA-1506A-S Declaración de No Tener Ingresos 05/01/2023
FAA-0255A-S Afirmación De Hogares Por Separado 05/01/2023
FAA-1004A Designation of EBT Alternate Card Holder 05/01/2023
FAA-0065A-XLP Verification of Living Arrangements/Residential Address (Extra Large Print) 05/01/2023
FAA-0255A Separate Household Status Statement 05/01/2023
FAA-0051A Verification of Financial Accounts 05/01/2023
FAA-1494A-XLP Authorized Representative Removal (Extra Large Print) 05/01/2023

Download Number Name Effective Date
FAA-1533A Verification of Unfitness for Work for Adults 05/01/2023
FAA-1701A Verification of Terminated Employment 05/01/2023
​FAA-0412A-SXLP Reporte de Cambios (Letra Extra Grande) 05/01/2023
FAA-1249A Verification of Disability 05/01/2023
FAA-0051A Verification of Financial Accounts 05/01/2023
FAA-1546A Sponsor Deeming Information 05/01/2023
FAA-1249A-LP Verification of Disability (Large Print) 05/01/2023
​FAA-0412A-SLP Reporte de Cambios (Letra Grande) 05/01/2023
FAA-1353A Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance 05/01/2023
FAA-0053A Verification of New/Current Employment 05/01/2023

No results available.

No results available.

No results available.

Back to Top