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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-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
| FAA-1724A-SLP | Application Signature Pages- Large Print (Spanish) | 07/01/2023 |
| FAA-1492A | Authorized Representatives - Rights & Responsibilities (English) | 07/01/2023 |
| FAA-1513A-XLP | Time Savings Tips (Extra Large Print) | 07/01/2023 |
| FAA-1724A-SXLP | Application Signature Pages- Extra Large Print (Spanish) | 07/01/2023 |
| FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
| FAA-1410A | Grant Diversion Script and Applicant Agreement | 07/01/2023 |
| FAA-1410A-S | Acuerdo de Solicitante y Guión de Desvío de Subvención | 07/01/2023 |
| FAA-1410A-LP | Grant Diversion Script and Applicant Agreement (Large Print) | 07/01/2023 |
| FAA-1410A-SLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Grande) | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1523A-S | Cash Programs Personal Responsibility Agreement (PRA) (Spanish) | 06/01/2023 |
| FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
| FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
| FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
| FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
| FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
| FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
| FAA-1439A-LP | Self-Employment Income Statement - Large Print (English) | 06/01/2023 |
| FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
| FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| 30th Month April 2023 | 30th Month Financial Report FY 2023 through April 2023 | 06/01/2023 |
| Statistical Bulletin April 2023 | Statistical Bulletin April 2023 | 05/17/2023 |
| LIHWAP FY23 | Low Income Household Water Assistance Program (LIHWAP) Plan | 05/12/2023 |
| SSBG Plan 2023-2024 | Draft SSBG Plan 2023-2024 | 05/08/2023 |
| 30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
| Statistical Bulletin March 2023 | Statistical Bulletin March 2023 | 04/21/2023 |
| LIHEAP Plan FY23 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/19/2023 |
| 30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
| SCSEP State Plan 2020-2023 | Senior Community Service Employment Program (SCSEP) State Plan 2020-2023 | 03/15/2023 |
| Statistical Bulletin February 2023 | Statistical Bulletin February 2023 | 03/10/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| VR-8.3 | 8.3 Assessments: Medical/Dental | 03/31/2021 |
| VR-1.1 | 1.1 Mission/Vision Statement | 03/31/2021 |
| VR-4.2 | 4.2 Timelines for Individualized Plan for Employment (IPE) Development | 03/31/2021 |
| VR-8.4 | 8.4 Assessments: Comprehensive Neurorehabilitation | 03/31/2021 |
| VR-10.3 | 10.3 Basic Education & Literacy | 03/31/2021 |
| VR-4.5.1 | 4.5.1 Self-Employment - Assessment, Business Concept Overview Development, Review and Approval Process | 03/31/2021 |
| VR-1.2 | 1.2 Structural Base | 03/31/2021 |
| VR-8.5 | 8.5 Assessments: Psychology/Psychiatric/Mental Health | 03/31/2021 |
| VR-10.4 | 10.4 Academic Tutoring | 03/31/2021 |
| VR-4.5.2 | 4.5.2 Self-Employment IPE Development, Technical Assistance and Business Plan Development | 03/31/2021 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1327A-S | Challenging Behavior and Social Emotional Support (Spanish) | 07/01/2024 |
| DDD-2245A-S | DDD Eligibility Application Process (Spanish) | 07/01/2024 |
| CCA-1337A | Child Care Assistance Waiting List Information (English) | 07/01/2024 |
| DDD-2245A | DDD Eligibility Application Process (English) | 07/01/2024 |
| CCA-1331A-S | Child Care Resource Guide (Spanish) | 07/01/2024 |
| DES-1333A | Register to Vote (English) | 07/01/2024 |
| GCI-1000A | Watch How I Grow (English/Spanish) | 07/01/2024 |
| CCA-1329A-S | Find Quality Child Care Through CCR&R (Spanish) | 07/01/2024 |
| ESA-1349A-S | Migrant and Seasonal Farmworker Orientation (Spanish) | 07/01/2024 |
| ADDPC-2230A-S | Pathways to the Future: ABLE (Spanish) | 06/01/2024 |
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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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