You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
RSA-1322A | Pre-Employment Transition Services | 02/01/2023 |
|
DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
|
RSA-1322A-S | Servicios de Transición Previa al Empleo | 02/01/2023 |
|
DDD-1883A | What is PASRR? | 02/01/2023 |
|
DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
|
FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
|
LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
|
DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
|
DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
|
LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
GCI-1038B-S | Consentimiento para Evaluación - Aviso Previo por Escrito | 02/01/2020 |
|
CSE-1157A | Non-Custodial Parent Request for Administrative Review (English/Spanish) | 02/01/2020 |
|
UB-217 | Wage / Employment Investigation Request (English) | 01/01/2020 |
|
FCT-1000A | Formal Request for Tribal Community | 01/01/2020 |
|
UB-217C | Wage Protest (English) | 01/01/2020 |
|
FAA-1442A | Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información | 12/01/2019 |
|
FAA-0075A | Verification of School Attendance/Verificación de Asistencia Escolar | 12/01/2019 |
|
LCR-1034A-S | Criminal History Self Disclosure Affidavit (Spanish) | 10/01/2019 |
|
LCR-1034A | Criminal History Self Disclosure Affidavit (English) | 10/01/2019 |
|
CCA-0218A | Sign-In/Sign-Out Record (English) | 10/01/2019 |
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