You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2131B | Volunteers Needed/ Necesitan Voluntarios | 05/01/2023 |
|
FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
|
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
|
CCA-0221A-S | Declaración de Servicios del Proveedor de Cuidado en Casa de Familia | 05/01/2023 |
|
FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
|
FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
|
DDD-2203A | Daily Shift Log (English) | 05/01/2023 |
|
FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
|
FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
|
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UIB-0098M | Record of Employment | 06/01/2021 |
|
UIB-0098R | Record of Employment | 06/01/2021 |
|
UIB-0098S | Training Certification and Eligibility Investigation Record | 06/01/2021 |
|
CCA-1276A-S | Action Plan (Spanish) | 06/01/2021 |
|
UIB-0126A | Request for Reconsideration/Appeal (English) | 06/01/2021 |
|
CCA-1276A | Action Plan (English) | 06/01/2021 |
|
UIB-0098B | Eligibility Investigation Record - Pension | 06/01/2021 |
|
UIB-0126A-S | Request for Reconsideration/Appeal (Spanish) | 06/01/2021 |
|
WIO-1144A | Eligible Training Provider List (LWDB) | 06/01/2021 |
|
WIO-1144B | Eligible Training Provider List LWDB Monitoring Tool | 06/01/2021 |
Stay up-to-date with news and updates delivered straight to your inbox
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