You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
UB-092-A-S | Confidential Financial Statement (Spanish) | 03/01/2018 |
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UB-108 | Name and Address Change Request (English / Spanish) | 03/01/2018 |
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UIA-1004A | Bulk Filer Application | 03/01/2018 |
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DD-099-A | Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old | 03/01/2018 |
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DD-099-B | Pre-PAS Screening Tool for Members at Least 2 Years 10 Months Old, But Less than 6 Years Old | 03/01/2018 |
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DD-099-C | Pre-PAS Screening Tool Only for Members between 6 and 11 Years Old | 03/01/2018 |
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DDD-1651A | COBV Waiver Request (English) | 03/01/2018 |
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DD-099-D | Pre-PAS Screening Tool for Members At Least 12 Years Old | 03/01/2018 |
|
DDD-1896A | Employment Services: Do You Want To Work? | 03/01/2018 |
|
DDD-1402C | Group Supported Employment - Quality Assurance Review (English) | 03/01/2018 |
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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