Renters and landlords impacted by the COVID-19 pandemic in twelve Arizona counties may now apply for rent and utility assistance through the Emergency Rental Assistance Program. Learn more.
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
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FAA-1533A | Verification of Unfitness for Work for Adults | 07/01/2018 |
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FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 07/01/2019 |
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FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 07/01/2019 |
|
FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 07/01/2019 |
|
FAA-1097A | Young Adult Transitional Insurance (YATI) Referral | 09/01/2017 |
|
FAA-0412A | Change Report | 09/01/2019 |
|
FAA-0412A-XLP | Change Report (Extra Large Print) | 09/01/2019 |
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FAA-0412A-LP | Change Report (Large Print) | 09/01/2019 |
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FAA-0412A-S | Informe de Cambios | 09/01/2019 |
|
FAA-0412A-XLPS | Informe de Cambios (Letra Extra Grande) | 09/01/2019 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
30th Month Jan-2015 | 30th Month Report January Fiscal Year 2015 | 02/27/2015 |
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30th Month Jan-2016 | 30th Month Report January Fiscal Year 2016 | 03/10/2016 |
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30th Month Jan-2017 | 30th Month Report January Fiscal Year 2017 | 03/14/2017 |
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30th Month Jul-2016 | 30th Month Report July Fiscal Year 2017 | 10/27/2016 |
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30th Month June-2010 | 30th Month Report June Fiscal Year 2010 | 08/02/2010 |
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30th Month Jun-2011 | 30th Month Report June Fiscal Year 2011 | 08/12/2011 |
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30th Month Jun-2012 | 30th Month Report June Fiscal Year 2012 | 08/08/2012 |
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30th Month June 2013 | 30th Month Report June Fiscal Year 2013 | 08/23/2013 |
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30th Month June 2014 | 30th Month Report June Fiscal Year 2014 | 08/05/2014 |
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30th Month Jun-2015 | 30th Month Report June Fiscal Year 2015 | 10/02/2015 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1627C | FACT SHEET - Immuniztions (Shots) | 06/01/2015 |
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CSE-1251A | Fact Sheet for Minor Parents (English/Spanish) | 07/01/2019 |
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PAF-001-A | Family Assistance Programs - What You Need to Know (English/Spanish) | 04/01/2018 |
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AAA-1289A | Family Caregiver Support Program | 02/01/2020 |
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AAA-1073A | Family Caregiver Support Program | 11/01/2007 |
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ESA-1353A | Federal Bonding Program | 03/01/2020 |
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FAA-1758A | FNS Certification Flyer (English/Spanish) | 01/01/2020 |
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HRP-1023A | Food Assistance Program - The Emergency Food Assistance Program (TEFAP) (English/Spanish) | 03/01/2021 |
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HRP-1022A | Food Assistance Programs - Nutrition Assistance (English/Spanish) | 05/01/2017 |
|
EN-025 | Food Assistance Programs in Arizona | 09/01/2013 |
Download | Number |
Name |
Effective Date |
---|---|---|---|
|
FAA-0001A-S | Solicitud de Beneficios | 03/01/2021 |
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FAA-0077A-S | Solicitud de Información y Acuerdo para Proporcionar Información que Falta | 10/01/2019 |
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FAA-0077A-XLPS | Solicitud de Información y Acuerdo para Proporcionar Información que Falta (Letra Extra Grande) | 10/01/2019 |
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FAA-0077A-SLP | Solicitud de Información y Acuerdo para Proporcionar Información que Falta (Letra Grande) | 10/01/2019 |
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FAA-1493A-S | Solicitud de Representante Autorizado | 08/01/2019 |
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FAA-1493A-XLPS | Solicitud de Representante Autorizado (Letra Extra Grande) | 08/01/2019 |
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FAA-1493A-LPS | Solicitud de Representante Autorizado (Letra Grande) | 08/01/2019 |
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FAA-1362A-S | Solicitud para reemplazo / suplemento de asistencia nutricional | 11/01/2017 |
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FAA-1546A | Sponsor Deeming Information | 01/01/2020 |
|
FAA-1055A | Spread the Word (Eng/Span) | 05/01/2015 |
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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.