You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 05/01/2023 |
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
FAA-1565A-S | Nutrition Assistance Drug Testing Agreement (Spanish) | 05/01/2023 |
FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
GCI-1037A | Public Education Agency (PEA) Notification/Referral | 05/01/2023 |
FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
UB-099-Y | Certification of Understanding (English / Spanish) | 07/01/2019 |
LCR-1007A | Home Visit Report Supplement to Notice of Inspection and Due Process Rights (English) | 07/01/2019 |
LCR-1007A-S | Home Visit Report Supplement to Notice of Inspection and Due Process Rights (Spanish) | 07/01/2019 |
GCI-1049A | No Contact Letter | 07/01/2019 |
RSA-1367A | Appeal Rights | 06/01/2019 |
RSA-1367A-LP | Appeal Rights (Large Print) | 06/01/2019 |
RSA-1367A-S | Derechos de Apelación | 06/01/2019 |
CCA-1259A-S | DES Certified Home-Based Child-Care Provider Pre Application (Spanish) | 06/01/2019 |
RSA-1367A-SLP | Derechos de Apelación (Letra Grande) | 06/01/2019 |
CCA-1259A | DES Certified Home-Based Child-Care Provider Pre Application (English) | 06/01/2019 |
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