You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
FAA-1494A-LP | Authorized Representative Removal (Large Print) | 05/01/2023 |
AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
FAA-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
FAA-1725A | Verification of Other Income | 05/01/2023 |
FAA-1765A | Authority to Release Information | 05/01/2023 |
FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
GCI-1119A | Standards of Practice Checklist (English) | 06/01/2020 |
GCI-1082A | Consent for Screening - Prior Written Notice | 06/01/2020 |
LCR-1053A | Renewal Application Worksheet (English) | 06/01/2020 |
GCI-1082A-S | Consentimiento para Evaluación - Notificación Previa por Escrito | 06/01/2020 |
SNA-1000A-S | Rights and Responsibilities (Spanish) | 06/01/2020 |
SNA-1000A | Rights and Responsibilities (English) | 06/01/2020 |
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
GCI-1088A | Child and Family Assessment Guide for Families (Accessible) | 06/01/2020 |
GCI-1084A | Hearing Screening Tracking (English) | 06/01/2020 |
GCI-1088A-S | Guía de Evaluación para los Niños y sus Familias | 06/01/2020 |
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