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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.
- You can click on the column headers to sort the search results.
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
| FAA-1788A | Proof of Eligibility Card (English) | 06/01/2023 |
| FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
| DDD-1479A | Notice of Extension (English) | 06/01/2023 |
| FAA-0155A | Recent Employment/Training Background | 06/01/2023 |
| FAA-1788A-S | Proof of Eligibility Card (Spanish) | 06/01/2023 |
| FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
| FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
| FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
| FAA-0155B | Determination of Primary Wage Earner (PWE) | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-2092A | DDD Behavioral Health Advocacy Plan | 03/01/2021 |
| DDD-2092A-S | Plan de Defensa de la Salud Conductual de la DDD | 03/01/2021 |
| DDD-2087A | Documentation Guidelines: Occupational, Physical, and Speech-Language Pathology Therapy Services | 02/01/2021 |
| FAA-1796A | Affidavit of Visually Viewed Documentation | 02/01/2021 |
| UB-010 | Eligibility Review Questionnaire (English) | 02/01/2021 |
| UB-010-S | Eligibility Review Questionnaire (Spanish) | 02/01/2021 |
| RSA-1298A | Referral Form (English) | 02/01/2021 |
| RSA-1396A | Secure Email Waiver | 02/01/2021 |
| RSA-1298A-S | Referral Form (Spanish) | 02/01/2021 |
| RSA-1298A-LP | Referral Form - Large Print (English) | 02/01/2021 |
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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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