You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
FAA-1523A | Cash Programs Personal Responsibility Agreement (PRA) (English) | 06/01/2023 |
FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
FAA-1523A-S | Cash Programs Personal Responsibility Agreement (PRA) (Spanish) | 06/01/2023 |
FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2023 |
FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1506A | Statement of No Income (English) | 05/01/2023 |
FAA-1768A | Overpayment Compromise Request Form (English) | 05/01/2023 |
FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
FAA-1768A-S | Overpayment Compromise Request Form (Spanish) | 05/01/2023 |
FAA-1494A-LP | Authorized Representative Removal - Large Print (English) | 05/01/2023 |
FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
FAA-0620A | Treatment Center Change Report | 05/01/2023 |
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (English) | 05/01/2023 |
FAA-1494A | Authorized Representative Removal (English) | 05/01/2023 |
FAA-0574A-SXLP | Withdrawal or Stop Benefits/Appeal Request - Extra Large Print (Spanish) | 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