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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-1840A | Keep Your Benefits Safe | 06/01/2023 |
| FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
| FAA-1439A-LP | Self-Employment Income Statement - Large Print (English) | 06/01/2023 |
| FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
| FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
| FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
| FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
| FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
| FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
| FAA-1724A-LP | Application Signature Pages - Large Print (English) | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1410A-XLP | Grant Diversion Script and Applicant Agreement - Extra Large Print (English) | 07/01/2023 |
| FAA-1410A-SXLP | Grant Diversion Script and Applicant Agreement - Extra Large Print (Spanish) | 07/01/2023 |
| FAA-1724A | Application Signature Pages (English) | 07/01/2023 |
| FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
| FAA-1724A-LP | Application Signature Pages - Large Print (English) | 07/01/2023 |
| FAA-1724A-XLP | Application Signature Pages - Extra Large Print (English) | 07/01/2023 |
| FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
| FAA-1097B | Foster Care Age Out Tribal Referral Form (English) | 12/01/2023 |
| FAA-1097A | Foster Care Age Out Referral Form (English) | 12/01/2023 |
| FAA-0001B | Application for Benefits Addendum (English) | 01/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| Statistical Bulletin January 2014 | Statistical Bulletin January 2014 | 02/28/2014 |
| 30th Month January 2014 | 30th Month Report January Fiscal Year 2014 | 03/06/2014 |
| Statistical Bulletin February 2014 | Statistical Bulletin February 2014 | 03/28/2014 |
| 30th Month February 2014 | 30th Month Report February Fiscal Year 2014 | 04/02/2014 |
| Statistical Bulletin March 2014 | Statistical Bulletin March 2014 | 04/15/2014 |
| 30th Month March 2014 | 30th Month Report March Fiscal Year 2014 | 05/19/2014 |
| Statistical Bulletin April 2014 | Statistical Bulletin April 2014 | 06/02/2014 |
| Statistical Bulletin May 2014 | Statistical Bulletin May 2014 | 06/13/2014 |
| SSBG Plan 2014-2015 | Social Services Block Grant Plan 2014-2015 | 07/01/2014 |
| 30th Month April 2014 | 30th Month Report April Fiscal Year 2014 | 07/09/2014 |
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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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