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  • Fa-001 - Application For Benefits - Azdes

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Do you need help with this application? Visit www.healthearizonaplus.gov or call 1-855-HEA-PLUS (432-7587). FA-001 (8-15). Page A. Tear off and keep pages .

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Contact support

If you do not know your P-EBT case number, call the P-EBT hotline at 1 (844) 841-3802 before calling FIS Customer Service.

The easiest way to apply for benefits is online through Health-e-Arizona Plus. You may also begin the application process by phone by calling 1-855-432-7587.

Cash Assistance (CA) benefits may only be provided for an assistance unit that resides in a needy family....Cash Assistance (CA) Income Eligibility Guidelines. Number of ParticipantsCA Monthly Payment Standard1$1642$2203$2784$3358 more rows

You may call the Arizona Department of Economic Security at their state-wide toll free number, 1-800-582-5706, for information on eligibility and application requirements. They can also help you locate other agencies and programs in your local area.

Eligibility for the Cash Assistance program is based on citizenship; qualified noncitizen resident status; Arizona residency; limits on resources and monthly income eligibility guidelines. Adults receiving Cash Assistance benefits are required to complete and sign a Personal Responsibility Agreement.

Payment Information. Eligible households may receive up to $3,500 per month in rental assistance for past-due rent (arrears) and up to three (3) months of future rent. Total assistance may not exceed 18 months or $63,000.

A family consists of the parent or non-parent head of household, their minor children, the spouse's minor children, dependent children for whom CA is requested, and all minor siblings of the dependent children....Cash Assistance (CA) Income Eligibility Guidelines. Number of ParticipantsCA Monthly Payment Standard1$1642$2203$2784$3358 more rows

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
FA-001 - Application For Benefits - Azdes
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2023 AZ FAA-0001A
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