Arizona Department of Economic Security Forms

This document is used for rescinding or canceling a previously signed Affidavit of Paternity in Arizona. It is available in both English and Spanish.

This form is used for designating an alternate card holder for an Ebt (Electronic Benefits Transfer) card. It is in an extra large print format and is available in both English and Spanish. The form is specific to Arizona.

This form is used for verifying the unfitness for work of adults in Arizona. It is available in both English and Spanish.

This form is used for applying for eligibility determination in Arizona.

This form is used for creating an Individualized Family Service Plan (IFSP) in Arizona. It is a packet that includes all the necessary documents and information for developing a plan specific to the needs of a child with developmental delays or disabilities and their family.

This Form is used for obtaining authorization for electronic payments in Arizona.

This form is used for authorizing electronic payments in the state of Arizona.

This type of document is a Form FAA-0077A-SXLP used in Arizona to request information and obtain consent to provide missing information. It is written in extra large font and is in Spanish.

This Form is used for submitting direct service position information in Arizona.

This form is used for applying for a direct service position in Arizona.