You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
|
DDD-1883A | What is PASRR? | 02/01/2023 |
|
CCA-1216A | Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES | 02/01/2023 |
|
LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
|
DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
|
DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
|
CSE-1225A | Caretakers Raising Children | 02/01/2023 |
|
CSE-1225A-S | Cuidadores que Crían Niños | 02/01/2023 |
|
DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
|
30th Month December 2022 | 30th Month Financial Report FY 2023 through December 2022 | 01/31/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-0221A-SLP | Spending Plan - Large Print (Spanish) | 02/01/2020 |
|
LCR-1033A | Life-Safety Inspection Request | 02/01/2020 |
|
UB-217 | Wage / Employment Investigation Request (English) | 01/01/2020 |
|
FCT-1000A | Formal Request for Tribal Community | 01/01/2020 |
|
UB-217C | Wage Protest (English) | 01/01/2020 |
|
FAA-1442A | Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información | 12/01/2019 |
|
FAA-0075A | Verification of School Attendance/Verificación de Asistencia Escolar | 12/01/2019 |
|
CCA-0218A | Sign-In/Sign-Out Record (English) | 10/01/2019 |
|
CCA-0218B | Sign-In/Sign-Out Record (Extended Version) | 10/01/2019 |
|
CCA-0218B-S | Registro de Entradas y Salidas (Versión extendida) | 10/01/2019 |
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