You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
CCA-1216A | Notice to All Families Enrolled at DES Child Care Facility (English/Spanish) | 02/01/2023 |
DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
CSE-1225A | Caretakers Raising Children (English) | 02/01/2023 |
DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
CSE-1225A-S | Caretakers Raising Children (Spanish) | 02/01/2023 |
LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers (English) | 02/01/2023 |
DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
DDD-1402A | Group supported employment - Quarterly Report (English) | 06/01/2017 |
DDD-1402B | Group Supported Employment - Six-Month Report (English) | 06/01/2017 |
DDD-1404A | Employment Support Aide - Quarterly Report (English) | 06/01/2017 |
DDD-1404B | Employment Support Aide - Six Month Report (English) | 05/01/2017 |
FBU-1003A | DERS Direct Service Position (English) | 05/01/2017 |
UB-433-FF | Voluntary Election for Federal/State Income Tax Withholding (English/Spanish) | 05/01/2017 |
CCA-1114A | Contractor Eligibility Verification | 04/01/2017 |
CSE-1249A | Father Matters Referral | 04/01/2017 |
DDD-1151A | Augmentative Alternative Communication (AAC) Evalution Request (English) | 04/01/2017 |
UB-101-A | Work Search Log (English / Spanish) | 04/01/2017 |
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