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Documents Center
Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Find a Document
- Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down.
- Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks.
- You can click on the column headers to sort the search results.
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1724A | Application Signature Pages | 07/01/2023 |
| FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
| FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
| FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
| FAA-1439A-SLP | Self-Employment Income Statement - Large Print (Spanish) | 06/01/2023 |
| FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
| FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
| FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
| FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
| FAA-1055A | Spread the Word | 06/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
| FAA-1523A-S | Cash Programs Personal Responsibility Agreement (PRA) (Spanish) | 06/01/2023 |
| FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
| FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
| FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
| FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
| FAA-1249A-XLP | Verification of Disability (Extra Large Print) | 05/01/2023 |
| FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
| FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
| FAA-1004A-XLP | Designation of EBT Alternate Card Holder - Extra Large Print (English) | 05/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| LIHWAP FY23 | Low Income Household Water Assistance Program (LIHWAP) Plan | 05/12/2023 |
| SSBG Plan 2023-2024 | Draft SSBG Plan 2023-2024 | 05/08/2023 |
| 30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
| Statistical Bulletin March 2023 | Statistical Bulletin March 2023 | 04/21/2023 |
| LIHEAP Plan FY23 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/19/2023 |
| 30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
| SCSEP State Plan 2020-2023 | Senior Community Service Employment Program (SCSEP) State Plan 2020-2023 | 03/15/2023 |
| Statistical Bulletin February 2023 | Statistical Bulletin February 2023 | 03/10/2023 |
| 30th Month January 2023 | 30th Month Financial Report FY 2023 through January 2023 | 03/06/2023 |
| Statistical Bulletin January 2023 | Statistical Bulletin January 2023 | 02/28/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| VR-8.4 | 8.4 Assessments: Comprehensive Neurorehabilitation | 03/31/2021 |
| VR-4.5.1 | 4.5.1 Self-Employment - Assessment, Business Concept Overview Development, Review and Approval Process | 03/31/2021 |
| VR-1.2 | 1.2 Structural Base | 03/31/2021 |
| VR-8.5 | 8.5 Assessments: Psychology/Psychiatric/Mental Health | 03/31/2021 |
| VR-10.3 | 10.3 Basic Education & Literacy | 03/31/2021 |
| VR-4.5.2 | 4.5.2 Self-Employment IPE Development, Technical Assistance and Business Plan Development | 03/31/2021 |
| VR-1.3 | 1.3 Personnel Standards | 03/31/2021 |
| VR-8.6 | 8.6 Assessments: Rehabilitative Services | 03/31/2021 |
| VR-10.4 | 10.4 Academic Tutoring | 03/31/2021 |
| VR-4.5.3 | 4.5.3 Self-Employment - Business Plan Review and Approval for VR Funding | 03/31/2021 |
| Number | Document Name | Effective Date |
|---|---|---|
| CSE-1209B | How to make a Payment (English) | 06/01/2024 |
| DDD-2298A | The Behavioral Health Service Journey (English) | 06/01/2024 |
| CCA-1301A | Background Check Requirements for Child Care Staff (English/Spanish) | 06/01/2024 |
| CSE-1299A | DCSS Resource Customer Guide (English) | 06/01/2024 |
| CSE-1299A-S | DCSS Resource Customer Guide (Spanish) | 06/01/2024 |
| ADDPC-2230A | Pathways to the Future: ABLE (English) | 06/01/2024 |
| CBC-1007A | DES Non-Certified Relative Provider CBC Quick Setup (English) | 06/01/2024 |
| DDD-2298A-S | The Behavioral Health Service Journey (Spanish) | 06/01/2024 |
| ADDPC-2230A-S | Pathways to the Future: ABLE (Spanish) | 06/01/2024 |
| CBC-1008A | CBC Quick Setup Guide: Certified Providers (English) | 06/01/2024 |
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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
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