You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
FAA-0177A | Claim of Good Cause (English/Spanish) | 06/01/2023 |
FAA-1055A | Spread the Word | 06/01/2023 |
FAA-0059A | Authority to Release Records | 06/01/2023 |
FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
FAA-0255A-S | Afirmación De Hogares Por Separado | 05/01/2023 |
FAA-0574A-S | Withdrawal or Stop Benefits/Appeal Request (Spanish) | 05/01/2023 |
FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
FAA-0255A | Separate Household Status Statement | 05/01/2023 |
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
FAA-1494A-XLP | Authorized Representative Removal - Extra Large Print (English) | 05/01/2023 |
FAA-1249A | Verification of Disability | 05/01/2023 |
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