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An illegal choice has been detected. Please contact the site administrator.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.
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| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1506A | Statement of No Income (English) | 05/01/2023 |
| FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
| FAA-1546A | Sponsor Deeming Information (English) | 05/01/2023 |
| CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
| FAA-1546A-S | Sponsor Deeming Information (Spanish) | 05/01/2023 |
| FAA-1366A | Eligibility Requirements | 05/01/2023 |
| CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
| FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
| 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 |
| Number | Document Name | Effective Date |
|---|---|---|
| SNA-1022A | Transportation-Related Expense | 11/01/2018 |
| SNA-1022A-S | Exención De Gastos De Transporte | 11/01/2018 |
| SNA-1027A | Work Focus | 11/01/2018 |
| AH-800 | AHCCCS Information for Applicants | 11/01/2018 |
| SNA-1027A-S | Enfoque de Trabajo | 11/01/2018 |
| SNA-1012A | SNA E&T Referral to Provider | 11/01/2018 |
| AH-800-S | ¿Qué Servicios Cubre el Seguro de Salud de AHCCCS? | 11/01/2018 |
| SNA-1045A-S | Prueba Aceptable de Causa Justificada | 11/01/2018 |
| SNA-1012AS | SNA E&T Referral to Provider (Spanish) | 11/01/2018 |
| SNA-1045A | Acceptable Proof of Good Cause | 11/01/2018 |
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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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