You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
LDU-1003A-S | Información Sobre una Disputa Laboral | 12/01/2022 |
UIT-1271A | A Guide to Unemployment Insurance Tax and Benefits (English) | 12/01/2022 |
CCA-0004A | Accident, Illness or Injury Report (Eng/Span) | 12/01/2022 |
CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
EAP-1004A-S | Applicant Statement of Tribal LIHEAP Denial (Spanish) | 12/01/2022 |
AAA-1178A | Training Record | 12/01/2022 |
CCA-0036A | Permission to Give Medication | 12/01/2022 |
EAP-1004A | Applicant Statement of Tribal LIHEAP Denial (English) | 12/01/2022 |
DDD-0208A-S | Community Living Services (CLS) Application and Agreement (Spanish) | 12/01/2022 |
DDD-1542A | Assisted Living Center Occupancy (English) | 12/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
AG-031-N | Social Service Report and Instructions for Non-Registered Services | 08/01/2012 |
UB-101-B-FFS | Afirmación del Plan de Acción para Búsqueda de Trabajo | 11/01/2011 |
GCI-1049AS | No Contact Letter (Spanish) | 08/01/2011 |
AAA-1163A | Ombudsman Case | 04/01/2011 |
AAA-1188A | Long Term Care Ombudsman Manual | 03/23/2011 |
GCI-1097A | AzEIP Quarterly Progress Report (English) | 10/01/2010 |
AAA-1190A | Volunteer Reference Check | 09/01/2010 |
RSA-LP5651 | Transition Protocol (Large Print) | 06/25/2010 |
RSA-TT5650 | Transition Protocol form | 06/25/2010 |
AG-031-R | Social Service Report and Instructions for Registered Services | 03/01/2010 |
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