You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
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FAA-1523A | Cash Programs Personal Responsibility Agreement (PRA) (English) | 06/01/2023 |
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FAA-1826A-S | Solicitud de Representante Autorizado(a) para Asistencia Nutricional (NA) | 06/01/2023 |
|
FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
|
FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
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FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
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FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
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FAA-1523A-S | Cash Programs Personal Responsibility Agreement (PRA) (Spanish) | 06/01/2023 |
|
FAA-1826A | Nutrition Assistance (NA) Authorized Representative Request | 06/01/2023 |
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FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
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FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
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FAA-1546A | Sponsor Deeming Information | 05/01/2023 |
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FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
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FAA-0412A-SXLP | Change Report - Extra Large Print (Spanish) | 05/01/2023 |
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FAA-1249A | Verification of Disability | 05/01/2023 |
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FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
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FAA-1546A-S | Información de Determinar a un Patrocinador | 05/01/2023 |
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FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
|
FAA-0412A-SLP | Change Report - Large Print (Spanish) | 05/01/2023 |
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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