You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1541A | ALTCS Enrollment Transition Information (ETI) (English) | 12/01/2022 |
|
CCA-0039A-S | Medical Statement (Spanish) | 12/01/2022 |
|
EAP-1004A | Applicant Statement of Tribal LIHEAP Denial (English) | 12/01/2022 |
|
APS 2022 Year in Review | Adult Protective Services 2022 Year in Review | 11/17/2022 |
|
Statistical Bulletin October 2022 | Statistical Bulletin October 2022 | 11/16/2022 |
|
ESA-1353A | Federal Bonding Program | 11/15/2022 |
|
Statistical Bulletin August 2022 | Statistical Bulletin August 2022 | 11/07/2022 |
|
Statistical Bulletin September 2022 | Statistical Bulletin September 2022 | 11/07/2022 |
|
30th Month September 2022 | 30th Month Financial Report FY 2023 through September 2022 | 11/04/2022 |
|
CC-214-A-S | Acuerdo de Tarifa para Parientes Proveedores de Cuidado de Niños | 11/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UB-130A | Work History (English) | 03/01/2018 |
|
DD-099-A | Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old | 03/01/2018 |
|
UB-130A-S | Work History (Spanish) | 03/01/2018 |
|
DD-099-B | Pre-PAS Screening Tool for Members at Least 2 Years 10 Months Old, But Less than 6 Years Old | 03/01/2018 |
|
DD-099-C | Pre-PAS Screening Tool Only for Members between 6 and 11 Years Old | 03/01/2018 |
|
DDD-1651A | COBV Waiver Request (English) | 03/01/2018 |
|
DD-099-D | Pre-PAS Screening Tool for Members At Least 12 Years Old | 03/01/2018 |
|
DDD-1402C | Group Supported Employment - Quality Assurance Review (English) | 03/01/2018 |
|
UB-092-A | Confidential Financial Statement (English) | 03/01/2018 |
|
UB-108 | Name and Address Change Request (English / Spanish) | 03/01/2018 |
Stay up-to-date with news and updates delivered straight to your inbox
Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification