You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1145A | Authorization to Share Information (English/Spanish) | 07/01/2023 |
ESA-1306A-S | Employment Service Registration (Spanish) | 07/01/2023 |
FAA-1825A-S | Elderly Simplified Application Project (ESAP) Flyer (Spanish) | 07/01/2023 |
FAA-1513A-SXLP | Consejos para Ahorrar Tiempo (Letra Extra Grande) | 07/01/2023 |
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
FAA-1724A-LP | Application Signature Pages - Large Print (English) | 07/01/2023 |
GCI-1163A | FFY 2021 Correction of NonCompliance Guidance (English) | 07/01/2023 |
VR-12.2 | 12.2 Maintenance | 06/30/2023 |
VR-12.1 | 12.1 Transportation Services | 06/30/2023 |
30th Month May 2023 | 30th Month Financial Report FY 2023 through May 2023 | 06/28/2023 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1796A | Affidavit of Visually Viewed Documentation | 02/01/2021 |
RSA-1396A | Secure Email Waiver | 02/01/2021 |
RSA-1298A | Referral Form (English) | 02/01/2021 |
RSA-1298A-S | Referral Form (Spanish) | 02/01/2021 |
UB-010 | Eligibility Review Questionnaire (English) | 02/01/2021 |
RSA-1298A-LP | Referral Form - Large Print (English) | 02/01/2021 |
UB-010-S | Eligibility Review Questionnaire (Spanish) | 02/01/2021 |
RSA-1298A-S-LP | Referral Form - Large Print (Spanish) | 02/01/2021 |
LCR-1087A | Child Developmental Certified Home Application Cover Page | 02/01/2021 |
DDD-2088A | Evaluation Report Plan of Care/Treatment: Certification/Recertification | 01/01/2021 |
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