You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
AAA-1350A | Caregiver Registration Form | 10/01/2023 |
FAA-1842A | Replacement of Nutrition Assistance Benefits - Food Destroyed in a Disaster/Misfortune | 10/01/2023 |
AAA-1398A-S | Alzheimer's Walk (Spanish) | 10/01/2023 |
CCA-0229A-FY24 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2024 (English/Spanish) | 10/01/2023 |
DDD-1856A-LP | Supported Living Planning Guide - Large Print (English) | 10/01/2023 |
ESA-1383A | Resources for H-2B Workers | 10/01/2023 |
UB-106A | Weekly Claim for Unemployment Insurance (UI) Benefits (English) | 10/01/2023 |
AAA-1418A-S | Family Caregiver Support Program Reporting Matrix (Spanish) | 10/01/2023 |
ESA-1383A-S | Recursos para los Trabajadores H-2B | 10/01/2023 |
UB-106A-S | Weekly Claim for Unemployment Insurance (UI) Benefits (Spanish) | 10/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
ETA-081-S | Solicitud Inicial de asistencia para desempleados por desastre | 09/01/2022 |
GCI-1096A | Individual Family Teaming Report (English) | 09/01/2022 |
UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
HRP-1040A | Annual USDA Commodity Food Service Application and Agreement Between Regional Food Bank and Distribution Site | 09/01/2022 |
DDD-2149A | Authorization to Release Records | 08/01/2022 |
HRP-1052A-S | Aviso de Acción del Programa Suplementario de Comestibles Básicos (CSFP) | 08/01/2022 |
FAA-1828A | Provider Determination (English) | 08/01/2022 |
HRP-1032A-S | Programa Suplementario de Comestibles Básicos (CSFP) Solicitud para Reunión Informal de Resolución de Disputas / Audiencia Imparcial | 08/01/2022 |
BEP-1010A | Operator Out of State and Instate Travel Procedure (English) | 08/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
UIB-1221B | How To Apply for UI Benefits (Bilingual) | 04/01/2016 |
DDD-1627A | FACT SHEET - Advance Directives End of Life Care (English/Spanish) | 06/01/2015 |
DDD-1627B | FACT SHEET - Blood Lead Poisoning | 06/01/2015 |
DDD-1627C | FACT SHEET - Immunizations (Shots) (English/Spanish) | 06/01/2015 |
DDD-1717A | Hot Topics - Heat Hazards | 05/01/2015 |
DDD-1698A | Dental Care Ages Birth - 21 (English) | 04/01/2015 |
DDD-1698A-S | Dental Care Ages Birth - 21 (Spanish) | 04/01/2015 |
PAD-588-PD | Decisions About Your Health Care | 11/01/2011 |
PAD-588-PDS | Decisiones sobre el cuidado de su salud | 11/01/2011 |
DDD-1558A | Choking (Prevention is No Accident!) (English) | 11/01/2011 |
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