You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
DDD-2203A | Daily Shift Log (English) | 05/01/2023 |
CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
FAA-1494A-SLP | Remoción de un(a) Representante Autorizado(a) (Letra Grande) | 05/01/2023 |
GCI-1037A | Public Education Agency (PEA) Notification/Referral | 05/01/2023 |
FAA-1366A | Eligibility Requirements | 05/01/2023 |
CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
FAA-0257A | Individual Development Account Agreement (English) | 05/01/2023 |
FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
FAA-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
RSA-1390A | Statement of Services Rendered | 07/01/2020 |
J-930-A | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) (English) | 07/01/2020 |
CSE-1185A | Affidavit of Credible Person Identifying Affiant (English/Spanish) | 07/01/2020 |
GCI-1042A-S | Encuesta Familiar | 07/01/2020 |
GCI-1085A-S | Lista de verificación para el examen de la visión | 07/01/2020 |
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
GCI-1084A | Hearing Screening Tracking | 06/01/2020 |
GCI-1084A-S | Seguimiento de la Revisión Auditiva | 06/01/2020 |
GCI-1082A | Consent for Screening - Prior Written Notice | 06/01/2020 |
GCI-1088A-S | Guía de Evaluación para los Niños y sus Familias | 06/01/2020 |
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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