You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
|
FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
|
FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
|
FAA-1494A-SLP | Remoción de un(a) Representante Autorizado(a) (Letra Grande) | 05/01/2023 |
|
CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
|
FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
|
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
|
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
|
FAA-1506A | Statement of No Income (English) | 05/01/2023 |
|
FAA-1494A-S | Remoción de un(a) Representante Autorizado(a) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
|
DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan | 09/01/2021 |
|
AAA-1344A | Direct Service Position | 08/01/2021 |
|
LCR-1085A | Adult Protective Services Records Check Request | 08/01/2021 |
|
AAA-1369A | Quarterly Report Packet | 08/01/2021 |
|
AAA-1344A-S | Posición de Servicio Directo | 08/01/2021 |
|
FAA-1810A | Register to vote (Bilingual) | 08/01/2021 |
|
DERS-1057A | Direct Service Position | 08/01/2021 |
|
CCA-1212A | Direct Service Position (Certification Form) | 07/01/2021 |
|
CCA-1212A-S | Puesto de Servicio Directo (Formulario de certificación) | 07/01/2021 |
Stay up-to-date with news and updates delivered straight to your inbox
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