You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
WIO-1075A | Transfer of Funds Request Form | 06/01/2023 |
|
FAA-0155B-S | Determinación de Principal Devengador(a) de Ingresos (PWE por sus siglas en inglés) | 06/01/2023 |
|
FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
|
FAA-1439A-SXLP | Self-Employment Income Statement - Extra Large Print (Spanish) | 06/01/2023 |
|
GCI-1161A-3 | Service Coordination Services Programmatic Meeting June 2023 | 06/01/2023 |
|
FAA-1440A | Cash Assistance Benefit Limit Extension Request (English) | 06/01/2023 |
|
FAA-1439A | Self-Employment Income Statement (English) | 06/01/2023 |
|
FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
|
FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
|
FAA-0059A | Authority to Release Records | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
HRP-1016A | Volunteer Confidentiality | 07/01/2022 |
|
CCA-0231A-2022 | Child Care Assistance Unwed Minor Parent Deeming Worksheet | 07/01/2022 |
|
DES-1024A | Request for Identity & Citizenship or Immigration Status Determination Turn-Around Document (TAD) (English) | 07/01/2022 |
|
CS-127-PF | Acknowledgment of Paternity (English / Spanish) | 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-1001A | USDA Commodity Loss Report (CLR) | 07/01/2022 |
|
HRP-1015A-S | Annual Civil Rights Training (Spanish) | 07/01/2022 |
|
HRP-1039A | Commodity Senior Food Program (CSFP) Participant Rights and Obligations | 07/01/2022 |
|
HRP-1005A | TEFAP Monthly Inventory and Participation Report (MIPR) | 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 |
|
DDD-1745A-S | Vehicle Safety Buckle Up - Q&A's (Spanish) | 06/01/2016 |
|
UIB-1220A | The Following Information is Required to File a New Application | 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