You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1765A | Authority to Release Information | 05/01/2023 |
|
FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
|
FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
|
FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
|
FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 05/01/2023 |
|
FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
|
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
|
FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
|
GCI-1033A | Transition Conference Summary | 05/01/2023 |
|
FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1212A-S | Puesto de Servicio Directo (Formulario de certificación) | 07/01/2021 |
|
DDD-2104A | Member Interdisciplinary Team Summary | 07/01/2021 |
|
DDD-2106A | Member's Circles of Support | 06/01/2021 |
|
DDD-2107A-S | Hoja de Trabajo Sobre lo que Funciona y lo que no Funciona | 06/01/2021 |
|
UIB-0098C | Eligibility Investigation Record - WC ALT. Base Period | 06/01/2021 |
|
DDD-2106A-S | Círculos de Apoyo del Miembro | 06/01/2021 |
|
UIB-0098K | Eligibility Investigation Record - Transient Lodging Seasonal Employment | 06/01/2021 |
|
UIB-0126A | Request for Reconsideration/Appeal (English) | 06/01/2021 |
|
UIB-0098M | Record of Employment | 06/01/2021 |
|
UIB-0126A-S | Request for Reconsideration/Appeal (Spanish) | 06/01/2021 |
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