You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
|
CSE-1061A | Establishing Paternity | 05/01/2023 |
|
FAA-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
|
FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
|
FAA-1366A | Eligibility Requirements | 05/01/2023 |
|
FAA-1765A | Authority to Release Information | 05/01/2023 |
|
CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
|
FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
|
FAA-0060A | Authority to Release Student Information | 05/01/2023 |
|
FAA-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UIB-0098C | Eligibility Investigation Record - WC ALT. Base Period | 06/01/2021 |
|
DDD-2106A-S | Círculos de Apoyo del Miembro | 06/01/2021 |
|
CCA-1287A-S | Registro de Simulacros de Evacuación de Emergencia | 05/01/2021 |
|
DDD-1530A-LP | Managed Risk Agreement Services and/or Placement (Large Print) | 05/01/2021 |
|
DDD-1530A | Managed Risk Agreement Services and/or Placement (English) | 05/01/2021 |
|
DDD-1530A-S | Managed Risk Agreement Services and/or Placement (Spanish) | 05/01/2021 |
|
AAA-1350B | Family Caregiver Support Program Evaluation | 05/01/2021 |
|
CCA-1287A | Emergency Evacuation Drill Record | 05/01/2021 |
|
AAA-1350C | Annual Follow Up | 05/01/2021 |
|
DDD-1436A | Behavioral Health Professional Consultation Summary (English) | 04/01/2021 |
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