Arizona Department of Economic Security
Your Partner for a Stronger Arizona
English Arabic French Persian Spanish Swahili Ukrainian Vietnamese

SpeakUpAZ

Main menu

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

  1. 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. 
  2. 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. 
  3. You can click on the column headers to sort the search results.


Number Document Name Effective Date
CCDBG Funds FY 2023 Child Care Development Block Grant Federal Supplemental Funds - FY 2023 09/18/2023
Child Count 2021 Child Count 2021 06/20/2022
CHRP Policy and Procedure Manual Arizona Coordinated Hunger Relief - The Emergency Food Assistance Program (TEFAP) Commodity Senior Food Program (CSFP) Policy and Procedure Manual 11/15/2021
CS-124 Application for IV-D Service/Genetic Testing Agreement / Solicitud para servicios del IV-D/acuerdo para pruebas geneticas 12/01/2017
CS-127-PF Acknowledgment of Paternity (English / Spanish) 07/01/2022
CSA-1070A Domestic Violence Housing Intervention Performance Measures 02/01/2018
CSBG State Plan SFY 2012 CSBG State Plan SFY 2012 09/09/2011
CSE-0016A Certified Public Expenditures Statement 01/01/2023
CSE-0167A Request for Title IV-D Child Support Services and Applicant’s Rights and Responsibilities (English) 01/01/2024
CSE-0167A-S Request for Title IV-D Child Support Services and Applicant’s Rights and Responsibilities (Spanish) 01/01/2024

Number Document Name Effective Date
FAA-1148A Medical Incapacity Statement (Hospitalized Applicant) 07/01/2023
FAA-1182A AHCCCS Fraud Prevention Determination Authorization 07/01/2023
FAA-1217A Request for Verification of Godparent Specified Relative 06/01/2023
FAA-1249A Verification of Disability 05/01/2023
FAA-1249A-LP Verification of Disability (Large Print) 05/01/2023
FAA-1249A-XLP Verification of Disability (Extra Large Print) 05/01/2023
FAA-1353A Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance 05/01/2023
FAA-1353A-S Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional 05/01/2023
FAA-1366A Eligibility Requirements 05/01/2023
FAA-1410A Grant Diversion Script and Applicant Agreement 07/01/2023

No results available.

No results available.

Number Document Name Effective Date
VR-1048A About AZ Hires Vets! 08/01/2023
WIC Outreach Arizona WIC Outreach State Flyer 10/01/2021
WIO-1086A Connecting People and Jobs 07/01/2020
WIO-1086A-S Conectando a las Personas con los Trabajos 07/01/2020
WIO-1112A Arizona Reentry Program 11/01/2019
WIO-1114A Second Chance Centers 01/01/2020
WIO-1121A Connecting Business with Job Seekers 08/01/2020
WIO-1127B Probation Officer Referral 10/01/2019
WIO-1130A Migrant and Seasonal Farmworker Resources Wallet Card 04/01/2023
WIO-1130A-S Tarjeta de bolsillo con Recursos para Trabajadores Agrícolas Migrantes y de Temporada 04/01/2023

Back to Top