Arizona Change of Family Status Request Form

State:
Multi-State
Control #:
US-133EM
Format:
Word; 
Rich Text
Instant download

Description

This form may be used to request a change of status within an employee's family situation for the purpose of company benefits.

How to fill out Change Of Family Status Request Form?

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FAQ

Call Center Phone NumbersToll Free: 1 (877) 600-2722.Phoenix: (602) 364-2722.Tucson: (520) 791-2722.Telecommunications Relay Service for the Deaf/Hard of Hearing: 711 Toll-Free.

First, the government enacted a temporary 15% increase between April 2021 and September 2021 as part of the American Rescue Plan.

By calling 1-855-432-7587 or 1-855-HEAplus. By completing the Change Report form and mailing, faxing, or submitting it to your local DES office.

Customer Call Center Phone: 888-737-0259 / Monday through Friday: 8 a.m. - 5 p.m.

You can renew your benefits online with a Health-e-Arizona Plus account. If you'd rather renew in person, call your caseworker, local office, or the Arizona SNAP hotline (1-855-777-8590) to find out how.

Households currently receiving Nutrition Assistance and/or Cash Assistance benefits will have this additional benefit added to their existing EBT cards. Households that received P-EBT benefits in 2020 or 2021 will have additional benefits added to their previously issued P-EBT card.

To change your name after marriage after getting the marriage license and completing the ceremony, simply get a certified copy of your marriage license and use it to change your name with the various governmental bodies and institutions, such as the motor vehicle department, Social Security Administration, and passport

If you need to report a change in your household including, but not limited to, a change of residential or mailing address, your income, household member's change of job, etc., contact the eligibility source where you applied for AHCCCS: DES or 1(855)HEA-PLUS (1-855-432-7587)

Arizona Unemployment Office (AZ DES) number where you can contact Arizona Department of Economic Security for any state unemployment office related matters including regulation, certificates, licenses, license search, verification and safety, is 877-600-2722.

The USDA estimates that the new plan will result in a $19.7 billion increase in SNAP payments nationally in fiscal 2022, which starts Friday. Arizona benefits are expected to rise $388 million next year, to a total of $1.8 billion.

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Arizona Change of Family Status Request Form