You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
CCA-1190A | Tribal New Child Care Referral | 07/01/2023 |
CCA-1176A-S | Parent/Guardian Affidavit of Non-Compensated Child Care (Spanish) | 07/01/2023 |
FAA-1724A | Application Signature Pages (English) | 07/01/2023 |
FAA-1825A-S | Elderly Simplified Application Project (ESAP) Flyer (Spanish) | 07/01/2023 |
FAA-1410A-LP | Grant Diversion Script and Applicant Agreement - Large Print (English) | 07/01/2023 |
CCA-1198A | Acknowledgement of Receipt and Understanding | 07/01/2023 |
FAA-1513A | Time Saving Tips | 07/01/2023 |
FAA-1415A | Illegal Drug Use Statement (English) | 07/01/2023 |
FAA-1410A-SLP | Grant Diversion Script and Applicant Agreement - Large Print (Spanish) | 07/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
UIB-0098M | Record of Employment | 06/01/2021 |
UIB-0126A | Request for Reconsideration/Appeal (English) | 06/01/2021 |
UIB-0098S | Training Certification and Eligibility Investigation Record | 06/01/2021 |
UIB-0126A-S | Request for Reconsideration/Appeal (Spanish) | 06/01/2021 |
CCA-1276A-S | Action Plan (Spanish) | 06/01/2021 |
UIB-0098R | Record of Employment | 06/01/2021 |
DDD-1530A-S | Managed Risk Agreement Services and/or Placement (Spanish) | 05/01/2021 |
AAA-1350B | Family Caregiver Support Program Evaluation | 05/01/2021 |
AAA-1350C | Annual Follow Up | 05/01/2021 |
DDD-1530A | Managed Risk Agreement Services and/or Placement (English) | 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