You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
ESA-1306A | Employment Service Registration (English) | 07/01/2023 |
FAA-1513A-LP | Time Savings Tips (Large Print) | 07/01/2023 |
FAA-1415A-LP | Illegal Drug Use Statement - Large Print (English) | 07/01/2023 |
PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
CCA-1198A-S | Acuse de Recibo y Entendimiento | 07/01/2023 |
CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care (English) | 07/01/2023 |
DDD-1783A-S | Habilitation Outcome Strategies (Spanish) | 07/01/2023 |
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
FAA-0620D | Supplemental Pages for the Treatment Center Monthly Roster | 07/01/2023 |
ESA-1306A-S | Employment Service Registration (Spanish) | 07/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
UIA-1069A | Application for Mixed Earners Unemployment Compensation | 04/01/2021 |
UIA-1069A-S | Solicitud de Compensación por Desempleo de Asalariados Mixtos | 04/01/2021 |
ESA-1338A | Language Line Translation Services Utilized (English) | 03/01/2021 |
DDD-2093A | DDD Behavioral Health Advocate Referral (English) | 03/01/2021 |
DDD-2092A | DDD Behavioral Health Advocacy Plan | 03/01/2021 |
DDD-2092A-S | Plan de Defensa de la Salud Conductual de la DDD | 03/01/2021 |
DDD-1530A-SLP | Managed Risk Agreement Services and/or Placement - Large Print (Spanish) | 03/01/2021 |
DDD-2090A | Program Integrity Requirements Verification | 03/01/2021 |
RSA-1298A-S-LP | Referral Form - Large Print (Spanish) | 02/01/2021 |
FAA-1796A | Affidavit of Visually Viewed Documentation | 02/01/2021 |
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