Main menu
- About DES
- Services
- Basic Needs
- Adult Protective Services
- Food Assistance
- Nutrition Assistance
- How to Apply for Nutrition Assistance
- Frequently Asked Questions
- Change Report for Nutrition, Cash, and Medical Assistance Benefits
- Electronic Benefits Transfer (EBT) Card
- Health-e-Arizona Plus Application
- Publications for Nutrition, Cash, and Medical Assistance Benefits
- Work Requirements for Able-Bodied Adults Without Dependents
- Double Up Food Bucks
- Student Eligibility for SNAP
- How to Support Health in your Home
- Hunger Relief Programs
- Other Food Programs
- Information for DES Partners
- Other Resources
- Appeals
- Contact DES
- Customer Bill of Rights
- Limited English Proficiency
- Office of Program Evaluation
- USDA Programs Nondiscrimination Statements
- Nutrition Assistance
- Medical Assistance
- Refugee Resettlement
- Shelter and Housing
- Domestic Violence Support
- Sexual Violence Support
- Child and Family
- Disabilities
- Older Adults
- Employment
- Job Seekers
- Reentry Services
- Employer Resources
- Apprenticeship
- Unemployment - Individual
- Apply for UI Benefits
- File Your Weekly UI Claims
- ID.me Identity Verification
- Overpayments
- Reemployment Services and Eligibility Assessment (RESEA)
- Disaster Unemployment Assistance
- Pandemic Unemployment Assistance
- ARIZONA@WORK Employment Resources
- Income Tax Information
- Eligibility for Unemployment Benefits
- Work Search and Your Eligibility for Unemployment Benefits
- How Do I and Frequently Asked Questions
- Forms & Pamphlets
- Contact Arizona UI
- UI Benefit Fraud
- How To File An Appeal For UI Benefits
- UI Data Dashboard
- Working with a Disability
- Employment Service/Related Law Complaint
- Unemployment - Employer
- Applying for an Unemployment Insurance Tax Account Number
- Report Changes to Your Business
- Reporting Wages and Paying Unemployment Insurance Taxes
- Employment Taxes - Calculating Unemployment Taxes
- Unemployment Insurance Tax Forms
- Unemployment Insurance Tax Frequently Asked Questions
- Request UI Records
- Employer Handbook/ Unemployment Tax
- Employer Handbook/ Unemployment Benefit Claims
- AZ Unemployment Insurance Tax Survey
- Contact the Unemployment Tax Office
- Arizona Shared Work Program
- Senior Community Service Employment Program
- Veterans
- Workforce Innovation and Opportunity Act (WIOA)
- Arizona State Monitor Advocate
- Basic Needs
- How do I?
- Do Business with DES?
- Request a Vendor Meeting
- Frequently Asked Questions
- Learn about HIPAA?
- Request Assistance?
- Request DES Records?
- Submit Website Feedback?
- Work for DES?
- ADA Disability Rights/Reasonable Accommodations
- Volunteer?
- File a Discrimination Complaint
- Report Developmental Disabilities Fraud, Waste and Abuse
- Documents Center
- Media Center
- Office Locator
- Report Fraud
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-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra 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-1523A-S | Cash Programs Personal Responsibility Agreement (PRA) (Spanish) | 06/01/2023 |
| FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2023 |
| FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
| FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
| FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
| FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
| FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1494A-S | Authorized Representative Removal (Spanish) | 05/01/2023 |
| FAA-0257A | Individual Development Account Agreement (English) | 05/01/2023 |
| FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
| FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
| FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 05/01/2023 |
| FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
| FAA-0255A-S | Afirmación De Hogares Por Separado | 05/01/2023 |
| FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 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 |
| Number | Document Name | Effective Date |
|---|---|---|
| TANF Plan 2020 | TANF State Plan Effective October 1, 2020 | 08/10/2022 |
| Statistical Bulletin June 2022 | Statistical Bulletin June 2022 | 08/03/2022 |
| 6AAC12-5YRR 2022 | Five-Year Review Report - TANF Cash Assistance | 08/03/2022 |
| Five Year Strategic Plan SFY 2023 - 2027 | Five Year Strategic Plan SFY 2023 - 2027 | 07/26/2022 |
| Statistical Bulletin May 2022 | Statistical Bulletin May 2022 | 06/28/2022 |
| SPP-APR-C FFY2020 | State Performance Plan / Annual Performance Report: Part C FFY 2020 | 06/28/2022 |
| Child Count 2021 | Child Count 2021 | 06/20/2022 |
| 2020 Child Count, Settings, Exits, and Dispute Resolution | 2020 Child Count, Settings, Exits, and Dispute Resolution | 06/20/2022 |
| 30th Month April 2022 | 30th Month Financial Report FY 2022 through April 2022 | 06/02/2022 |
| Statistical Bulletin March 2022 | Statistical Bulletin March 2022 | 06/01/2022 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1812A-S | FAA Virtual Services Flyer (Spanish) | 05/01/2024 |
| FAA-1853A | Nutrition Assistance Programs for Eligible Participants - Black/White (English) | 05/01/2024 |
| WIO-1250A-S | Referral to SNAP CAN (Spanish) | 05/01/2024 |
| DDD-2292A | Decision-Making for Adults (English) | 05/01/2024 |
| FAA-1853A-S | Nutrition Assistance Programs for Eligible Participants - Color (Spanish) | 05/01/2024 |
| DDD-2292A-S | Decision-Making for Adults (Spanish) | 05/01/2024 |
| FAA-1853A-S | Nutrition Assistance Programs for Eligible Participants - Black/White (Spanish) | 05/01/2024 |
| GCI-1025A | Serving Families Experiencing Homelessness - Technical Assistance Bulletin (English) | 05/01/2024 |
| FAA-1045A | How to Use Your Arizona EBT Card (English) | 05/01/2024 |
| DDD-2285A | Services While Traveling Out of State (English) | 05/01/2024 |
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
© Copyright 2024 DES