You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
|
WIO-1075A | Transfer of Funds Request Form | 06/01/2023 |
|
FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
|
FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
|
FAA-0059A | Authority to Release Records | 06/01/2023 |
|
FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
|
FAA-1823A | Keep Your Nutrition and Cash Assistance Benefits Safe (English/Spanish) | 06/01/2023 |
|
FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
|
CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
|
FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CS-127-PF | Acknowledgment of Paternity (English / Spanish) | 07/01/2022 |
|
CCA-0231A-2022 | Child Care Assistance Unwed Minor Parent Deeming Worksheet | 07/01/2022 |
|
HRP-1015A | Annual Civil Rights Training (English) | 07/01/2022 |
|
UIB-0101C | Work Search Plan of Action Affidavit (English) | 07/01/2022 |
|
HRP-1016A | Volunteer Confidentiality | 07/01/2022 |
|
HRP-1039A-S | Programa Suplementario de Comestibles Básicos (CSFP) Derechos y obligaciones del participante | 07/01/2022 |
|
HRP-1016A-S | Confidencialidad del Voluntario | 07/01/2022 |
|
HRP-1015A-S | Annual Civil Rights Training (Spanish) | 07/01/2022 |
|
HRP-1001A | USDA Commodity Loss Report (CLR) | 07/01/2022 |
|
HRP-1039A | Commodity Senior Food Program (CSFP) Participant Rights and Obligations | 07/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1795APAMPD | Dental Care Adult (Ages 21+) | 12/01/2016 |
|
DDD-1795APAMS | Cuidado Dental Adulto (Edad 21+) | 12/01/2016 |
|
DDD-1751A | Responsible Driving Information Fact Sheet#6 (English) | 07/01/2016 |
|
UIB-1220A | The Following Information is Required to File a New Application | 06/01/2016 |
|
DDD-1745A-S | Vehicle Safety Buckle Up - Q&A's (Spanish) | 06/01/2016 |
|
DDD-1745A | Vehicle Safety Buckle Up - Q&A's (English) | 05/01/2016 |
|
UIB-1219B | How to File Your Weekly Claim (Bilingual) | 04/01/2016 |
|
UIB-1221B | How To Apply for UI Benefits (Bilingual) | 04/01/2016 |
|
DDD-1627A | FACT SHEET - Advance Directives End of Life Care (Eng/Spa) | 06/01/2015 |
|
DDD-1627B | FACT SHEET - Blood Lead Poisoning | 06/01/2015 |
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