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You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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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 |
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CSE-1225A | Caretakers Raising Children | 02/01/2023 |
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DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
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CSE-1225A-S | Cuidadores que Crían Niños | 02/01/2023 |
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DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
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DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
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DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
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LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
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RSA-1322A | Pre-Employment Transition Services | 02/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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GCI-1113A | Child Transfer Form | 10/01/2019 |
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CCA-0218B | Sign-In/Sign-Out Record (Extended Version) | 10/01/2019 |
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LCR-1034A-S | Criminal History Self Disclosure Affidavit (Spanish) | 10/01/2019 |
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CCA-0218B-S | Registro de Entradas y Salidas (Versión extendida) | 10/01/2019 |
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CCA-0218A-S | Sign-In/Sign-Out Record (Spanish) | 10/01/2019 |
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CSE-1007 | Customer Satisfaction Survey | 09/01/2019 |
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DDD-0403A | Reference Request (English) | 09/01/2019 |
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RSA-1383A | BEP Training - Applicant Checklist | 09/01/2019 |
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RSA-1386A | BEP 8 Step Process | 09/01/2019 |
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CCA-1116A | Child Care Assistance Priority Waiting List Income Table | 09/01/2019 |
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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