FAA1.D Application Requirements : 02 Official Applications - Overview : B Official Applications - Availability of Applications
Official Applications - Availability of Applications
(01/01/21 – 12/31/21)
FAA offices must provide an application to anyone who asks for one.
When an applicant is unable to come into the office to get an application, they can complete one of the following:
Online Health-e-Arizona Plus (HEAplus) application.
Paper application downloaded from MyFamilyBenefits (MFB).
Request an application be mailed. The FAA office must place an application in the outgoing mail on the same day it is requested.
Over the phone by calling the centralized Customer Support Center for HEAplus, AHCCCS and FAA.
Official applications can also be obtained from any of the following sources:
Community groups
Organizations involved in outreach efforts
Other agencies
Download or print the application from the DES web site. Search for the application by entering APPLICATION in the Search by Name field