You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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RSA-1447A-S | Programa para Personas de la Tercera Edad que son Ciegas (folleto de página completa) | 01/01/2023 |
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RSA-1448A-S | Programa para Personas de la Tercera Edad que son Ciegas (folleto de 1/2 página) | 01/01/2023 |
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DDD-1003A-S | Evaluación PASRR II | 01/01/2023 |
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OEO-1005A | Limited English Proficiency (LEP) Annual Monitoring Report Requirements Checklist | 01/01/2023 |
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RSA-1298B | Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral | 01/01/2023 |
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RSA-1298B-S | Recomendación para el Programa de Verano para Jóvenes Ciegos/Visión Reducida Sordo/Dificultades Auditivas | 01/01/2023 |
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RSA-1447A | Older Individuals who are Blind Program (full page flyer) | 01/01/2023 |
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RSA-1298B-LP | Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral (Large Print) | 01/01/2023 |
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RSA-1448A | Older Individuals who are Blind Program (1/2 page flyer) | 01/01/2023 |
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RSA-1298B-SLP | Recomendación para el Programa de Verano para Jóvenes Ciegos/Visión Reducida Sordo/Dificultades Auditivas (Letra Grande) | 01/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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RSA-1376A | Request for Vending Services Placement | 08/01/2019 |
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DDD-0524A | Authorization for Release of Information (English) | 08/01/2019 |
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UIB-0098A | Eligibility Investigation Record | 08/01/2019 |
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DDD-1328A | Referral to Vocational Rehabilitation (English) | 08/01/2019 |
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UB-099-Y | Certification of Understanding (English / Spanish) | 07/01/2019 |
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LCR-1007A | Home Visit Report Supplement to Notice of Inspection and Due Process Rights | 07/01/2019 |
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GCI-1049A | No Contact Letter | 07/01/2019 |
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LCR-1007A-S | Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso | 07/01/2019 |
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RSA-1312A | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
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RSA-1312A-S | Autorización Para Divulgación De Información De Salud a RSA | 07/01/2019 |
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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