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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DDD-2217A | Business Automobile Liability Waiver | 10/01/2023 |
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AAA-1182A | Arizona Nutrition, Food Service and Wellness Manual (English) | 10/01/2023 |
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AG-119 | Nutritional Health Screening Tool (English) | 10/01/2023 |
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AAA-1351A | Non-Registered Quarterly Report | 10/01/2023 |
|
CSE-1158A | Request for Review of Arrears (English) | 10/01/2023 |
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AG-119-S | Nutritional Health Screening Tool (Spanish) | 10/01/2023 |
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AAA-1350A | Caregiver Registration Form | 10/01/2023 |
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RRP-1015A | Statement of Understanding | 10/01/2023 |
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CSE-1158A-S | Request for Review of Arrears (Spanish) | 10/01/2023 |
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VR-4.5 | 4.5 Self-Employment IPE | 09/30/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1249A | Verification of Disability | 05/01/2023 |
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FAA-0255A | Separate Household Status Statement | 05/01/2023 |
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CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
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FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
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FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 05/01/2023 |
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FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
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FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
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FAA-1494A | Authorized Representative Removal | 05/01/2023 |
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FAA-1765A | Authority to Release Information | 05/01/2023 |
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FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
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