You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
GCI-1032A | IFSP Transition Meeting Invitation Prior Written Notice | 05/01/2023 |
GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
FAA-1565A-S | Nutrition Assistance Drug Testing Agreement (Spanish) | 05/01/2023 |
FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
CCA-1170A | Withdrawal or Termination Request for Child Care Providers (English) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
SNA-1012A | SNA E&T Referral to Provider | 11/01/2018 |
SNA-1045A | Acceptable Proof of Good Cause (English) | 11/01/2018 |
SNA-1045A-S | Acceptable Proof of Good Cause (Spanish) | 11/01/2018 |
SNA-1012AS | SNA E&T Referral to Provider (Spanish) | 11/01/2018 |
SNA-1022A | Transportation-Related Expense | 11/01/2018 |
SNA-1022A-S | Exención De Gastos De Transporte | 11/01/2018 |
SNA-1023A-S | Acuerdo Para Prácticas Laborales | 11/01/2018 |
CC-228 | Self-Employment Budget Record | 10/01/2018 |
CC-228-S | Registro Presupuestario de empleo propio | 10/01/2018 |
DD-524-FFS | Autorización para Entregar Información | 10/01/2018 |
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