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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 |
|---|---|---|
| FA-057-FF | Land Operations Office Information Request | 10/01/2005 |
| FAA-1208A | Language Notification Flyer | 01/01/2021 |
| FAA-1208A-XLP | Language Notification Flyer (Extra Large Print) | 03/01/2021 |
| FAA-1208A-LP | Language Notification Flyer (Large Print) | 02/01/2021 |
| FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
| FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
| FAA-1549A | Merchant Restaurant Meals Program (English) | 09/01/2024 |
| FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
| FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
| FAA-1826A | Nutrition Assistance (NA) Authorized Representative Request (English) | 09/01/2024 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
| FAA-1828A | Provider Determination (English) | 08/01/2022 |
| FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
| FAA-1494A-SXLP | Remoción de un(a) Representante Autorizado(a) (Letra Extra Grande) | 05/01/2023 |
| FAA-1494A-SLP | Remoción de un(a) Representante Autorizado(a) (Letra Grande) | 05/01/2023 |
| FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
| FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
| FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
| FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
| FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| 30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
| 30th Month May 2023 | 30th Month Financial Report FY 2023 through May 2023 | 06/28/2023 |
| 30th Month November 2022 | 30th Month Financial Report FY 2023 through November 2022 | 12/29/2022 |
| 30th Month October 2022 | 30th Month Financial Report FY 2023 through October 2022 | 12/02/2022 |
| 30th Month September 2022 | 30th Month Financial Report FY 2023 through September 2022 | 11/04/2022 |
| 30th Month April 2024 | 30th Month Financial Report FY 2024 through April 2024 | 05/30/2024 |
| 30th Month August 2023 | 30th Month Financial Report FY 2024 through August 2023 | 10/03/2023 |
| 30th Month December 2023 | 30th Month Financial Report FY 2024 through December 2023 | 02/02/2024 |
| 30th Month February 2024 | 30th Month Financial Report FY 2024 through February 2024 | 04/02/2024 |
| 30th Month January 2024 | 30th Month Financial Report FY 2024 through January 2024 | 03/05/2024 |
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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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