You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
LCR-1064A | Statement of Understanding-Application for HCBS Certification | 03/01/2023 |
|
CCA-0227A | Self-Employment Monthly Income Log | 03/01/2023 |
|
LCR-1064A-S | Declaración de Entendimiento Solicitud de Certificación para HCBS | 03/01/2023 |
|
CCA-0228A-S | Registro Presupuestario Mensual de Trabajo por Cuenta Propia | 03/01/2023 |
|
DES-1254A-S | Lista de Programas y Servicios de DES | 03/01/2023 |
|
CCA-0227A-S | Registro Mensual de Ingresos por Cuenta Propia | 03/01/2023 |
|
CCA-0228A | Self-Employment Monthly Budget Record | 03/01/2023 |
|
DDD-2153A | Likely Eligibility Tool (LET) | 03/01/2023 |
|
CCA-1312A | Provider/Parent/Guardian's Agreement for Non-DES Child Care Charges | 03/01/2023 |
|
Statistical Bulletin January 2023 | Statistical Bulletin January 2023 | 02/28/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
LCR-1053A | Renewal Application Worksheet (English) | 06/01/2020 |
|
CSE-1016A | Waiver of Paternity Affidavit (English/Spanish) | 06/01/2020 |
|
SNA-1000A | Rights and Responsibilities | 06/01/2020 |
|
SNA-1000A-S | Derechos y Responsabilidades | 06/01/2020 |
|
GCI-1088A | Child and Family Assessment Guide for Families (Accessible) | 06/01/2020 |
|
GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
|
AAA-1355A | APS Registry Employer Certification Form | 05/01/2020 |
|
GCI-1039A | Consent to Obtain Information | 05/01/2020 |
|
GCI-1039AS | Autorización para Obtener Información | 05/01/2020 |
|
ESA-1126A | Cancellation of Direct Deposit (English) | 04/01/2020 |
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