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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-1788A | Proof of Eligibility Card (English) | 06/01/2023 |
| DDD-2207A | Quick Reference Guide - AHCCCS Eligibility Redeterminations (English/Spanish) | 06/01/2023 |
| FAA-1788A-S | Proof of Eligibility Card (Spanish) | 06/01/2023 |
| DDD-1479A | Notice of Extension (English) | 06/01/2023 |
| FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
| FAA-1529A | Verification of Volunteers Hours | 06/01/2023 |
| FAA-1615A | Nutrition Assistance Report Fraud Poster | 06/01/2023 |
| DDD-1479A-S | Notice of Extension (Spanish) | 06/01/2023 |
| FAA-1440A-S | Cash Assistance Benefit Limit Extension Request (Spanish) | 06/01/2023 |
| FAA-1439A-LP | Self-Employment Income Statement - Large Print (English) | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| CCA-1277A | Sample Child Care Provider Expulsion Prevention Policy (English) | 11/01/2020 |
| CCA-1277A-S | Sample Child Care Provider Expulsion Prevention Policy (Spanish) | 11/01/2020 |
| LCR-1063A | Developmental Home License Denial, Revocation or Suspension Hearing Request | 10/01/2020 |
| LCR-1063A-S | Petición Audiencia Sobre Denegación, Revocación o Suspensión de Certificación de Hogar de o Comunitario | 10/01/2020 |
| LCR-1030A | Request to Withdraw HCBS Certification | 10/01/2020 |
| LCR-1025A-S | Application for Initial HCBS Certification (Spanish) | 09/01/2020 |
| CCA-1272A | AZ STEPS Parent Acknowledgement | 09/01/2020 |
| CCA-1272A-S | Reconocimiento de los padres de AZ STEPS | 09/01/2020 |
| WIO-1031A | Training Program Credential Checklist (English) | 09/01/2020 |
| J-020 | Discrimination Complaint- Clients, Applicants and Contractors (English) | 08/01/2020 |
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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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