You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
FAA-0255A-S | Afirmación De Hogares Por Separado | 05/01/2023 |
FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
FAA-0001A | Application for Benefits (English) | 10/01/2024 |
FAA-0001A-S | Application for Benefits (Spanish) | 10/01/2024 |
FAA-0001B | Application for Benefits Addendum (English) | 01/01/2024 |
FAA-0001B-S | Application for Benefits Addendum (Spanish) | 01/01/2024 |
FNS-252-2 | Application for Meal Services | 04/01/2019 |
FAA-1724A | Application Signature Pages | 07/01/2023 |
FAA-1724A-XLP | Application Signature Pages (Extra Large Print) | 07/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
FAA-0001A | Application for Benefits (English) | 10/01/2024 |
FAA-0001A-S | Application for Benefits (Spanish) | 10/01/2024 |
FAA-0001B | Application for Benefits Addendum (English) | 01/01/2024 |
FAA-0001B-S | Application for Benefits Addendum (Spanish) | 01/01/2024 |
FNS-252-2 | Application for Meal Services | 04/01/2019 |
FAA-1724A | Application Signature Pages | 07/01/2023 |
FAA-1724A-XLP | Application Signature Pages (Extra Large Print) | 07/01/2023 |
FAA-1724A-LP | Application Signature Pages (Large Print) | 07/01/2023 |
FAA-0059A | Authority to Release Records | 06/01/2023 |
Stay up-to-date with news and updates delivered straight to your inbox
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