FAA1.D Application Requirements : 02 Official Applications - Overview : A Official Applications - FAA Applications for Assistance
A Official Applications - FAA Applications for Assistance
 
(2/01/14 - 03/31/14)
FAA accepts the following official FAA applications as an application for ALL FAA and AHCCCS Title XIX programs:
 
Health-e-Arizona Plus online application
Application for Assistance (FA-001) (standard format)
Application for Assistance (FA-001) (large print format)
Any other DES/FAA approved application form used for FAA pilot programs or projects
Photocopies or print outs of any of the previously listed official applications
 
NOTE The FA-001 may also be downloaded and printed from the DES web site.
 
When an application for assistance or benefits is received that is NOT listed as an official FAA application, see Acceptable Applications.