You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1494A-LP | Authorized Representative Removal - Large Print (English) | 05/01/2023 |
FAA-1725A-S | Verification of Other Income (Spanish) | 05/01/2023 |
FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
FAA-1494A | Authorized Representative Removal (English) | 05/01/2023 |
FAA-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
FAA-0574A | Withdrawal or Stop Benefits/Appeal Request (English) | 05/01/2023 |
FAA-1768A | Overpayment Compromise Request Form (English) | 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 |
EAP-1007A | Applicant Statement of No Income | 04/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
SNA-1023A-S | Acuerdo Para Prácticas Laborales | 11/01/2018 |
SNA-1022A | Transportation-Related Expense | 11/01/2018 |
SNA-1022A-S | Exención De Gastos De Transporte | 11/01/2018 |
AH-800 | AHCCCS Information for Applicants | 11/01/2018 |
AH-800-S | ¿Qué Servicios Cubre el Seguro de Salud de AHCCCS? | 11/01/2018 |
CC-228 | Self-Employment Budget Record | 10/01/2018 |
CC-228-S | Registro Presupuestario de empleo propio | 10/01/2018 |
DD-524-FFS | Autorización para Entregar Información | 10/01/2018 |
ESA-1220A-S | Work Readiness Self-Assessment (Spanish) | 09/01/2018 |
DES-1077A | Notice of Privacy Practices (English) | 09/01/2018 |
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