FaxTerra

Fax Your Arizona Benefits Paperwork

The fax line each Arizona agency publishes for Medicaid and CHIP, SNAP, unemployment, state leave benefits, and state tax, with what that office asks you to put on every page.

Fax Your Documents

10 pages free every month. No credit card.

Where to fax it

3 of the 4 Arizona agencies below publish a fax line for their documents, and one publishes only a line for a particular form or an appeal. Call the number in the row before you send.

The office asks for your case number on every page. Put it on every page you send, and keep the fax receipt. An office that cannot match a page to a case has to set it aside, and the receipt is what proves you sent it before the deadline.

Call before you send. Agency fax lines change and some stop answering. A short call confirms the number and whether that office is the one holding your case.

Medicaid and Medicare cost sharing applications
Health Care Cost Containment System (AHCCCS)

AHCCCS asks that every requested verification document travel with the DE-103 application, and that pages 1 through 6 be the pages sent to the MA-SP office.

Fax

No general fax line published. The lines this office does publish:

the DE-103 application for Medicare cost sharing and health insurance(602) 258-4619
an Arizona Long Term Care System application1-888-507-3313
a request for an AHCCCS fair hearing602-253-9115
Source
SNAP, Cash Assistance, and verification documents
Department of Economic Security, Family Assistance Administration

DES asks for a cover sheet on faxed documents, and for copies rather than original documents.

Fax
verification documents for food, cash and medical assistance(602) 257-7031
the same verification documents, toll free1 (844) 680-9840
Source
Unemployment claim documents and appeals
Department of Economic Security, Unemployment Insurance Administration
Fax
unemployment claim documents(602) 364-1210
the same claim documents, toll free(888) 305-1348
an unemployment benefits appeal(602) 257-7056
Source
Customer Care and Collections
Department of Revenue
Fax
general correspondence to Customer Care(602) 542-2072
collections, liens and certificates of compliance(602) 542-4771
Source

What the fax costs on FaxTerra

This is what FaxTerra charges to send it. It is not a fee the office charges.

Sending your packet
Free

Every FaxTerra account gets 10 free pages a month, and a page to a US fax number counts as one. A renewal or verification packet of up to 10 pages sends free, with no credit card.

A second packet the same month
$1.99 for 10 pages

Free pages reset on the 1st. If a second packet in the same month takes you past 10 pages, a FaxTerra Lite pack covers it, with no subscription.

Questions

What do I put on every page I fax to a Arizona agency?

Your case or client number, your name, and your date of birth, unless the row below says the office asks for something else. A page that arrives without a case number has to be matched by hand, which is the slowest path through any agency.

Can I fax a Arizona agency without a fax machine?

Yes. Upload the pages from your phone or computer, enter the office's fax number, and send. The agency receives it as a fax. Every account gets 10 free pages a month, and a page to a US fax number counts as one.

What if the fax line does not answer?

Call the number in that office's row before you try again. A line that rings and never connects will not start working on a retry, and the office can tell you whether the number changed or whether it wants the document another way.

Is this an official Arizona site?

No. FaxTerra is a fax service. Arizona and the office you are writing to set the rules and decide your case; every number and requirement here is linked to the agency's own page under official sources.

Official sources

FaxTerra is a fax service, not a benefits agency. Arizona and the office holding your case set the rules and decide it; follow their instructions where they differ from anything here. Every number above is linked to the agency page it was read on. Reviewed September 2026.

Faxing something else to a government office? How faxing government forms works.

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Fax your paperwork

Upload the pages from your phone or computer, enter the office's fax number, and send. 10 pages free every month.