You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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ESA-1184D | Veteran’s Priority of Service ID Card | 12/01/2022 |
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CAP-1001A-S | Servicios de Acción Comunitaria | 12/01/2022 |
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AAA-1346A | Medical Need Verification | 12/01/2022 |
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CCA-0004A | Accident, Illness or Injury Report (Eng/Span) | 12/01/2022 |
|
EAP-1004A-S | Applicant Statement of Tribal LIHEAP Denial (Spanish) | 12/01/2022 |
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CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
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AAA-1178A | Training Record | 12/01/2022 |
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EAP-1004A | Applicant Statement of Tribal LIHEAP Denial (English) | 12/01/2022 |
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DDD-0208A-S | Community Living Services (CLS) Application and Agreement (Spanish) | 12/01/2022 |
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AAA-1346A-S | Verificación de Necesidad Médica | 12/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
SNA-1045A-S | Prueba Aceptable de Causa Justificada | 11/01/2018 |
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LCR-1079B | Abbreviated Developmental Home Compliance Review | 11/01/2018 |
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CC-228 | Self-Employment Budget Record | 10/01/2018 |
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CC-228-S | Registro Presupuestario de empleo propio | 10/01/2018 |
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DD-524-FFS | Autorización para Entregar Información | 10/01/2018 |
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DES-1059A | Authorization to Release Information | 09/01/2018 |
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ESA-1220A | Work Readiness Self-Assessment | 09/01/2018 |
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ESA-1220A-S | Autoevaluación Para Determinar La Preparación Laboral | 09/01/2018 |
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DES-1077A-S | Notice of Privacy Practices (Spanish) | 09/01/2018 |
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DES-1077A | Notice of Privacy Practices (English) | 09/01/2018 |
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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