You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
|
DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
|
CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
|
FAA-0574A-XLP | Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) | 05/01/2023 |
|
FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
|
DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
|
CCA-1170AS | Petición para el Retiro o Terminación de Solicitud - Para Proveedores de Cuidado de Niños | 05/01/2023 |
|
FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
|
FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
|
AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
GCI-1021A | Individualized Family Service Plan - Packet | 04/01/2022 |
|
CCA-1199A | Emergency Preparedness & Response Planning | 04/01/2022 |
|
ESA-1303A | Job Order | 04/01/2022 |
|
GCI-1141A | SSIP Evaluation Plan Summary | 04/01/2022 |
|
CCA-1199A-S | Guía de Preparación en Caso de Emergencias y Planificación de Respuesta | 04/01/2022 |
|
UB-194-FF | Employer Verification or Requalifying Earnings | 04/01/2022 |
|
GCI-1021E | Individualized Family Service Plan (IFSP) Transition | 04/01/2022 |
|
GCI-1021E-S | Plan Individualizado De Servicio Familiar (IFSP) Transición | 04/01/2022 |
|
DDD-1988A | PRC Disposition (English) | 03/01/2022 |
|
DDD-1988A-S | PRC Disposition (Spanish) | 03/01/2022 |
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