You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
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FAA-0412A-SXLP | Change Report - Extra Large Print (Spanish) | 05/01/2023 |
|
FAA-1249A | Verification of Disability | 05/01/2023 |
|
GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
|
CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
|
FAA-0412A-SLP | Change Report - Large Print (Spanish) | 05/01/2023 |
|
FAA-1725A-S | Verificación de Otros Ingresos | 05/01/2023 |
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FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 05/01/2023 |
|
FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
|
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UIB-0126A | Request for Reconsideration/Appeal (English) | 06/01/2021 |
|
CCA-1276A-S | Action Plan (Spanish) | 06/01/2021 |
|
UIB-0126A-S | Request for Reconsideration/Appeal (Spanish) | 06/01/2021 |
|
CCA-1276A | Action Plan (English) | 06/01/2021 |
|
UIB-0098B | Eligibility Investigation Record - Pension | 06/01/2021 |
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WIO-1144A | Eligible Training Provider List (LWDB) | 06/01/2021 |
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WIO-1144B | Eligible Training Provider List LWDB Monitoring Tool | 06/01/2021 |
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UIB-0098L | Eligibility Investigation Record - Transient Lodging Seasonal Employment | 06/01/2021 |
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UIB-0098E | Eligibility Investigation Record - Education/School Bus Wages | 06/01/2021 |
|
UIB-0098F | Job Offer Development, Referral, Eligibility Investigation Record | 06/01/2021 |
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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