You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
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ESA-1184D | Veteran’s Priority of Service ID Card | 12/01/2022 |
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AAA-1402A | Conflict of Interest Statement | 12/01/2022 |
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CCA-0004A | Accident, Illness or Injury Report (Eng/Span) | 12/01/2022 |
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CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
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FAA-1548A | Restaurant Owners Needed (English) | 12/01/2022 |
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DDD-1541A | ALTCS Enrollment Transition Information (ETI) (English) | 12/01/2022 |
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UIT-1271A | A Guide to Unemployment Insurance Tax and Benefits (English) | 12/01/2022 |
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CCA-0036A | Permission to Give Medication | 12/01/2022 |
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DDD-1542A | Assisted Living Center Occupancy (English) | 12/01/2022 |
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CCA-0036A-S | Permiso para Administrar Medicamentos | 12/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1406B | Career Preparation and Readiness - Six-Month Report | 06/01/2018 |
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DDD-1661B | Prior Authorization | 06/01/2018 |
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UB-296-S | Report of Illness or Physical Disability (Spanish) | 05/01/2018 |
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DDD-1403B | Individual Supported Employment - Six Month Report | 05/01/2018 |
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DDD-1405A | Transition to Employment - Quarterly Report | 05/01/2018 |
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DDD-1405B | Transition To Employment - Six Month Report (English) | 05/01/2018 |
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DDD-1405C | Transition To Employment - Quality Assurance Review | 05/01/2018 |
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PPP-1063A | HIPAA Privacy Complaints (English) | 05/01/2018 |
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CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers (English) | 05/01/2018 |
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RSA-1313A | Authorization for Release of RSA Records | 05/01/2018 |
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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