You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1145A | Authorization to Share Information (English/Spanish) | 07/01/2023 |
ESA-1306A-S | Employment Service Registration (Spanish) | 07/01/2023 |
FAA-1825A-S | Elderly Simplified Application Project (ESAP) Flyer (Spanish) | 07/01/2023 |
FAA-1775A | How Do I File a Complaint (English/Spanish) | 07/01/2023 |
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
FAA-1724A-LP | Application Signature Pages - Large Print (English) | 07/01/2023 |
FAA-1818A | Nutrition Assistance (NA) Medical Expense Deduction | 07/01/2023 |
FAA-1415A | Illegal Drug Use Statement (English) | 07/01/2023 |
FAA-1492A-S | Authorized Representatives - Rights & Responsibilities (Spanish) | 07/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
UIB-0098S | Training Certification and Eligibility Investigation Record | 06/01/2021 |
CCA-1276A-S | Action Plan (Spanish) | 06/01/2021 |
CCA-1276A | Action Plan (English) | 06/01/2021 |
UIB-0098B | Eligibility Investigation Record - Pension | 06/01/2021 |
WIO-1144A | Eligible Training Provider List (LWDB) | 06/01/2021 |
WIO-1144B | Eligible Training Provider List LWDB Monitoring Tool (English) | 06/01/2021 |
AAA-1350B | Family Caregiver Support Program Evaluation | 05/01/2021 |
CCA-1287A | Emergency Evacuation Drill Record | 05/01/2021 |
DDD-1530A | Managed Risk Agreement Services and/or Placement (English) | 05/01/2021 |
AAA-1350C | Annual Follow Up | 05/01/2021 |
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