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Documents Center
Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Find a Document
- 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.
- 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.
- You can click on the column headers to sort the search results.
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
| FAA-1055A | Spread the Word | 06/01/2023 |
| FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
| FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
| FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
| FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
| FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
| FAA-0059A | Authority to Release Records | 06/01/2023 |
| FAA-0126A | Nutrition Assistance Frequently Asked Questions | 06/01/2023 |
| FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
| FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
| FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
| FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
| FAA-1410A-SXLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Extra Grande) | 07/01/2023 |
| FAA-1724A | Application Signature Pages (English) | 07/01/2023 |
| FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
| FAA-1724A-LP | Application Signature Pages - Large Print (English) | 07/01/2023 |
| FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
| FAA-1724A-XLP | Application Signature Pages - Extra Large Print (English) | 07/01/2023 |
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Arizona State Resources
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
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