You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
|
FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
|
FAA-1725A-S | Verificación de Otros Ingresos | 05/01/2023 |
|
FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
|
FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
|
FAA-0257A | Individual Development Account Agreement (English) | 05/01/2023 |
|
FAA-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
|
FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
|
CSE-1061A | Establishing Paternity | 05/01/2023 |
|
FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2092A | DDD Behavioral Health Advocacy Plan | 03/01/2021 |
|
DDD-2092A-S | Plan de Defensa de la Salud Conductual de la DDD | 03/01/2021 |
|
ESA-1338A | Language Line Translation Services Utilized | 03/01/2021 |
|
DDD-1530A-SLP | Managed Risk Agreement Services and/or Placement -Large Print (Spanish) | 03/01/2021 |
|
FAA-1796A | Affidavit of Visually Viewed Documentation | 02/01/2021 |
|
RSA-1396A | Secure Email Waiver | 02/01/2021 |
|
RSA-1298A | Referral Form (English) | 02/01/2021 |
|
RSA-1298A-S | Referral Form (Spanish) | 02/01/2021 |
|
RSA-1298A-LP | Referral Form - Large Print (English) | 02/01/2021 |
|
UB-010 | Eligibility Review Questionnaire (English) | 02/01/2021 |
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