You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request - Large Print (English) | 05/01/2023 |
FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
DDD-2203A | Daily Shift Log (English) | 05/01/2023 |
CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
FAA-0574A-SLP | Withdrawal or Stop Benefits/Appeal Request - Large Print (Spanish) | 05/01/2023 |
CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
CSE-1061A | Establishing Paternity (English) | 05/01/2023 |
FAA-0257A | Individual Development Account Agreement (English) | 05/01/2023 |
FAA-1768A | Overpayment Compromise Request Form (English) | 05/01/2023 |
CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
FCT-1000A | Formal Request for Tribal Community | 01/01/2020 |
UB-217C | Wage Protest (English) | 01/01/2020 |
UB-217 | Wage / Employment Investigation Request (English) | 01/01/2020 |
FAA-1442A | Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información | 12/01/2019 |
FAA-0075A | Verification of School Attendance (English) | 12/01/2019 |
CCA-0218A | Sign-In/Sign-Out Record (English) | 10/01/2019 |
CCA-0218B | Sign-In/Sign-Out Record (Extended Version) | 10/01/2019 |
LCR-1034A-S | Criminal History Self Disclosure Affidavit (Spanish) | 10/01/2019 |
CCA-0218B-S | Registro de Entradas y Salidas (Versión extendida) | 10/01/2019 |
GCI-1113A | Child Transfer Form | 10/01/2019 |
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