You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
CAP-1001A | Community Action Service Providers | 12/01/2022 |
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CCA-0036A | Permission to Give Medication | 12/01/2022 |
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CAP-1001A-S | Servicios de Acción Comunitaria | 12/01/2022 |
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ESA-1349A-S | Migrant and Seasonal Farmworker Orientation (Spanish) | 12/01/2022 |
|
AAA-1346A | Medical Need Verification | 12/01/2022 |
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EAP-1004A-S | Applicant Statement of Tribal LIHEAP Denial (Spanish) | 12/01/2022 |
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ESA-1349A | Migrant and Seasonal Farmworker Orientation (English) | 12/01/2022 |
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CCA-0036A-S | Permiso para Administrar Medicamentos | 12/01/2022 |
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AAA-1178A | Training Record | 12/01/2022 |
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DDD-1542A | Assisted Living Center Occupancy (English) | 12/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UC-020 | UI Tax Wage Listing Continuation | 04/01/2019 |
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DDD-0254A | Fire Risk Profile (English) | 04/01/2019 |
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FNS-252-2 | Application for Meal Services | 04/01/2019 |
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RSA-1298A-S | Referral Form (Spanish) | 04/01/2019 |
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RSA-1298A-S-LP | Referral Form - Large Print (Spanish) | 04/01/2019 |
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RSA-1365A | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA | 03/01/2019 |
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RSA-1365A-S | Autorización/Consentimiento Para Divulgación y Uso de Información Confidencial Entre DDD y RSA | 03/01/2019 |
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GCI-1021C | Child Indicators Summary | 03/01/2019 |
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DDD-1985A | Personal Identification Information - PIF (English) | 03/01/2019 |
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GCI-1021C-S | Resumen de los Indicadores del Niño/a | 03/01/2019 |
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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