You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
|
FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
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CCA-1105A-S | Encuesta de reclamante fiscal | 06/01/2023 |
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FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
|
DDD-1479A-S | Notice of Extension (Spanish) | 06/01/2023 |
|
FAA-0155A | Recent Employment/Training Background | 06/01/2023 |
|
FAA-1821A-LP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Large Print (English) | 06/01/2023 |
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FAA-1826A-S | Solicitud de Representante Autorizado(a) para Asistencia Nutricional (NA) | 06/01/2023 |
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FAA-0059A | Authority to Release Records | 06/01/2023 |
|
FAA-1459A | Hopi Tribal TANF Referral Notice | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
AAA-1346A-S | Verificación de Necesidad Médica | 12/01/2022 |
|
LDU-1003A-S | Información Sobre una Disputa Laboral | 12/01/2022 |
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DDD-1542A | Assisted Living Center Occupancy (English) | 12/01/2022 |
|
CCA-0036A | Permission to Give Medication | 12/01/2022 |
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AAA-1345A-S | Solicitud del Programa de Reembolso al Cuidador Familiar de Arizona | 12/01/2022 |
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DDD-1542A-S | Assisted Living Center Occupancy (Spanish) | 12/01/2022 |
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CCA-0036A-S | Permiso para Administrar Medicamentos | 12/01/2022 |
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CCA-0039A | Medical Statement (English) | 12/01/2022 |
|
EAP-1004A | Applicant Statement of Tribal LIHEAP Denial (English) | 12/01/2022 |
|
CCA-0039A-S | Medical Statement (Spanish) | 12/01/2022 |
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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