You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0620A | Treatment Center Change Report | 05/01/2023 |
FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request - Large Print (English) | 05/01/2023 |
FAA-1494A-S | Authorized Representative Removal (Spanish) | 05/01/2023 |
FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
DDD-2131B | Volunteers Needed/ Necesitan Voluntarios | 05/01/2023 |
FAA-0574A-SLP | Withdrawal or Stop Benefits/Appeal Request - Large Print (Spanish) | 05/01/2023 |
GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
FAA-1249A | Verification of Disability | 05/01/2023 |
DDD-2203A | Daily Shift Log (English) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CCA-0218B | Sign-In/Sign-Out Record (Extended Version) | 10/01/2019 |
LCR-1034A | Criminal History Self Disclosure Affidavit (English) | 10/01/2019 |
CCA-0218B-S | Registro de Entradas y Salidas (Versión extendida) | 10/01/2019 |
CCA-0218A-S | Sign-In/Sign-Out Record (Spanish) | 10/01/2019 |
GCI-1113A | Child Transfer Form | 10/01/2019 |
LCR-1034A-S | Criminal History Self Disclosure Affidavit (Spanish) | 10/01/2019 |
DDD-1532A | Hardship Reduction Request (English) | 09/01/2019 |
DDD-1532A-S | Hardship Reduction Request (Spanish) | 09/01/2019 |
DDD-0403A | Reference Request (English) | 09/01/2019 |
RSA-1383A | BEP Training - Applicant Checklist | 09/01/2019 |
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