You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
CCA-1271A-S | Service Consent Form (Spanish) | 06/01/2022 |
CCA-1271A | Service Consent Form (English) | 06/01/2022 |
FAA-0255A | Separate Household Status Statement | 05/01/2023 |
SFMNP-WIC-FMNP | Seniors Farmer's Market Nutrition Program (SFMNP) and the WIC Farmer's Market Nutrition (FMNP) Program Policy and Procedure Manual | 03/03/2020 |
SCSEP State Plan 2024-2027 | Senior Community Service Employment Program (SCSEP) State Plan 2024-2027 | 03/29/2024 |
SCSEP State Plan 2020-2023 | Senior Community Service Employment Program (SCSEP) State Plan 2020-2023 | 03/15/2023 |
CCA-1340A | Self-Sufficiency Statement (English/Spanish) | 03/01/2025 |
CCA-1161A | Self-Sufficiency Statement | 09/01/2018 |
CCA-0227A | Self-Employment Monthly Income Log | 03/01/2023 |
CCA-0228A-S | Self-Employment Monthly Budget Record (Spanish) | 08/01/2024 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1410A-SLP | Grant Diversion Script and Applicant Agreement - Large Print (Spanish) | 07/01/2023 |
FAA-1410A-LP | Grant Diversion Script and Applicant Agreement - Large Print (English) | 07/01/2023 |
FAA-1410A-SXLP | Grant Diversion Script and Applicant Agreement - Extra Large Print (Spanish) | 07/01/2023 |
FAA-1410A-XLP | Grant Diversion Script and Applicant Agreement - Extra Large Print (English) | 07/01/2023 |
FAA-1410A-S | Grant Diversion Script and Applicant Agreement (Spanish) | 07/01/2023 |
FAA-1410A | Grant Diversion Script and Applicant Agreement (English) | 07/01/2023 |
FAA-1097B | Foster Care Age Out Tribal Referral Form (English) | 12/01/2023 |
FAA-1097A | Foster Care Age Out Referral Form (English) | 12/01/2023 |
FAA-1111A-SLP | Formulario para Verificar la Declaración del Participante (Letra grande) | 06/01/2023 |
FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
DDD-2250A-S | Age 18 Redetermination Packet (Spanish) | 11/01/2023 |
DDD-2250A | Age 18 Redetermination Packet (English) | 11/01/2023 |
AAA-1313A | Adult Protective Services at a Glance | 05/01/2022 |
APS-1000A-S | Adult Protective Services (Spanish) | 05/01/2022 |
AAA-1283A | Adult Protective Services (APS) (English) | 05/01/2021 |
APS-1000A | Adult Protective Services | 05/01/2022 |
GCI-1246A | ADES/AzEIP FFY 2024 Monitoring Rally (English) | 02/26/2025 |
WIO-1161B | Addressing Weaknesses (SCC) | 05/01/2022 |
WIO-1161A | Addressing Weaknesses | 05/01/2022 |
AzEIP-TAB-03282023 | Address Confidentiality Program (ACP) Technical Assistance Bulletin (English) | 03/28/2023 |
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