Arizona Department of Economic Security
Your Partner for a Stronger Arizona

popup link

 

 
 
 
 
Leave this empty
 
 
 
 
 
 
 
 
 

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. 

To request a document in an alternative format, please contact [email protected].

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. Enter a keyword in the Search by Name field and click the Search button. 

    Click on the column headers to sort the search results.

Download Number Form Name Effective Date
FAA-1493A-LP Nutrition Assistance Authorized Representative Request (Large Print) 08/01/2019
CCA-0229A (FY20) Child Care Assistance Gross Monthly Income Eligibility Chart and Fee Schedule (English/Spanish) 08/01/2019
FAA-0526A Potential Overpayment (OP) Referral 08/01/2019
FAA-0412A-S Informe de Cambios 08/01/2019
UIA-1060A Filing of Weekly Claims (English/Spanish) 08/01/2019
DDD-1328A Referral to Vocational Rehabilitation 08/01/2019
FAA-1493A-XLPS Solicitud de Representante Autorizado (Letra Extra Grande) 08/01/2019
CCA-0218B Sign-In/Sign-Out Record (Extended Version) 08/01/2019
FAA-1494A-XLPS Remoción de un Representante Autorizado (Letra Extra Grande) 08/01/2019
FAA-1493A-LPS Solicitud de Representante Autorizado (Letra Grande) 08/01/2019

Download Number Form Name Effective Date
Annual Report 2017-2018 2017-2018 DES Annual Report 12/31/2018
30th Month Oct 2018 30th Month Financial Report FY-2019 through Oct-2018 12/17/2018
Statistical Bulletin November 2018 Statistical Bulletin November 2018 12/17/2018
30th Month Aug-2018 30th Month Financial Report FY-2019 through Aug-2018 12/12/2018
30th Month Sep-2018 30th Month Financial Report FY-2019 through Sep-2018 12/10/2018
Statistical Bulletin October 2018 Statistical Bulletin October 2018 11/27/2018
GCBVI 2018 Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2018 11/21/2018
DES Welfare-2018 Annual Welfare Reform Report 2018 11/16/2018
DES Welfare-2017 Annual Welfare Reform Report 2017 11/16/2018
Statistical Bulletin September 2018 Statistical Bulletin September 2018 11/05/2018

No results available.

Download Number Form Name Effective Date
GCI-1081A Interagency Coordinating Council for Infants and Toddlers (Consejo de Coordinación Interinstitucional para Bebés y Niños Pequeños) 06/01/2019
ESA-1060A Reemployment Workforce Services 06/01/2019
ESA-1060A-S Servicios de Reintegración Laboral 06/01/2019
JOB-1135A Arizona Jobs Program 06/01/2019
JOB-1135A-S Programa Jobs de Arizona 06/01/2019
CSE-1299A DCSS Resource Customer Guide 06/01/2019
FAA-1407A Arizona WIC Reference Guide 05/01/2019
AAA-1324A Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing 05/01/2019
PAD-465D ALTCS Member Handbook Insert (English/Spanish) 05/01/2019
DDD-2010A Out-of-Network Claims Submission Guide 05/01/2019


Download Number Form Name Effective Date
FAA-1493A-S Solicitud de Representante Autorizado 08/01/2019
FAA-0526A Potential Overpayment (OP) Referral 08/01/2019
FAA-1701A-LP Verification of Terminated Employment (Large Print) 08/01/2019
AAA-1122A Host Agency Application 08/01/2019
FAA-0412A-XLP Change Report (Extra Large Print) 08/01/2019
FAA-1494A Authorized Representative Removal 08/01/2019
FAA-1494A-LP Authorized Representative Removal (Large Print) 08/01/2019
UIA-1060A Filing of Weekly Claims (English/Spanish) 08/01/2019
FAA-1494A-XLPS Remoción de un Representante Autorizado (Letra Extra Grande) 08/01/2019
AAA-0525A Residents’ Rights 08/01/2019

Back to Top