To protect taxpayer dollars from criminals and ensure Arizonans in need can access benefits in a timely manner, beginning this week, claimants filing initial claims for Pandemic Unemployment Assistance (PUA) will need to verify their identities using ID.me’s safe and secure online portal before they can receive PUA benefits. Learn more.
States across the nation continue to see an extraordinary number of claims filed as a result of identity theft. DES has become aware that some Arizona residents are receiving notices and benefit cards at their address with the names of individuals who do not reside at that location. This is the result of criminals attempting to obtain funds from the new federal Pandemic Unemployment Assistance (PUA) program by using randomly selected in-state addresses during the application process. More information regarding unemployment fraud can be found here. To report fraud, file a report online or call the DES Fraud Hotline at 1 (800) 251-2436.
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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 03/01/2018 |
|
UB-126-FF | Request for Reconsideration/Appeal | 03/01/2018 |
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UB-126-FFS | Request for Reconsideration/Appeal (Spanish) | 03/01/2018 |
|
UB-092 | Request for Waiver of Overpayment | 03/01/2018 |
|
CC-225 | Verification of Unable\Unavailable Status | 03/01/2018 |
|
DD-099-A | Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old | 03/01/2018 |
|
UB-092-A | Confidential Financial Statement | 03/01/2018 |
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DD-099-B | Pre-PAS Screening Tool for Members at Least 2 Years 10 Months Old, But Less than 6 Years Old | 03/01/2018 |
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WIO-1040A | Training Provider Assurances | 03/01/2018 |
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UB-092-A-S | Declaración Financiera Confidencial | 03/01/2018 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
2008 Child Care Report to JLBC | Child Care Report to JLBC 2008 | 09/22/2008 |
|
Statistical Bulletin Sep 2008 | Statistical Bulletin September 2008 | 09/01/2008 |
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FSIP Federal Fiscal Year 2009 | Food Stamps Information Plan Federal Fiscal Year 2009 | 08/15/2008 |
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Statistical Bulletin Aug 2008 | Statistical Bulletin August 2008 | 08/01/2008 |
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Statistical Bulletin July 2008 | Statistical Bulletin July 2008 | 07/31/2008 |
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SCSEP Plan 2008-2011 | SCSEP Cordination Plan 2008-2011 | 07/01/2008 |
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Family Support Program 2008 | DDD Family Support Program Annual Report 2008 | 06/30/2008 |
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Statistical Bulletin Jun 2008 | Statistical Bulletin June 2008 | 06/30/2008 |
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FAA Cust Sat 2008 | FAA Customer Satisfaction Survey Results SFY 2008 | 06/30/2008 |
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Tribal Consultation Report 2008 | Tribal Consultation Report 2008 | 06/27/2008 |
| Download | Number | Name |
Effective Date |
|---|---|---|---|
|
FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 07/01/2019 |
|
DDD-1954-S | Participación en DDD | 07/01/2019 |
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DDD-1713A-S | Centro de Servicio al cliente de la DDD | 07/01/2019 |
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LCR-1007A-S | Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso | 07/01/2019 |
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FAA-1249A-LP | Verification of Disability (Large Print) | 07/01/2019 |
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DDD-1622A | Home Modification Requests Support Coordinator’s (SC) Checklist | 07/01/2019 |
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GCI-1094A | Primary Caregiver Visit Log | 07/01/2019 |
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FAA-1249A | Verification of Disability | 07/01/2019 |
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DDD-1694A | Out-of-Home Placement for Children | 07/01/2019 |
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CCA-1230A | Avoiding the Child Care Waiting List | 07/01/2019 |
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