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Reports, Forms, Pamphlets and Policies

You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services. 

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  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.


Number Document Name Effective Date
FAA-1111A-S Formulario para Verificar la Declaración del Participante 06/01/2023
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

Number Document Name Effective Date
FAA-1249A Verification of Disability 05/01/2023
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

Number Document Name Effective Date
30th Month February 2020 30th Month Financial Report FY 2020 through February 2020 04/23/2020
30th Month February 2021 30th Month Financial Report FY 2021 through February 2021 03/29/2021
30th Month February 2022 30th Month Financial Report FY 2022 through February 2022 03/29/2022
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

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