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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DDD-1328A | Referral to Vocational Rehabilitation (English) | 08/01/2019 |
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DDD-1328B | Referral to Vocational Rehabilitation Packet (English) | 08/01/2019 |
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DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
DDD-1360A | Team Assignment Tracking | 01/01/2005 | |
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DDD-1370A | Child Information Guide | 07/01/2018 |
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DDD-1370A-S | Información Sobre el Menor | 07/01/2018 |
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DDD-1375A | Support Coordinator Introductory Letter (English) | 01/01/2024 |
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DDD-1375A-S | Support Coordinator Introductory Letter (Spanish) | 01/01/2024 |
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DDD-1390A | Human Rights Committee Volunteer Application | 09/01/2022 |
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DDD-1400B | Employment Services - Quality Assurance Review Summary (English) | 11/01/2017 |
Download | Number | Name | Effective Date |
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FAA-1847A-SXLP | Electronic Benefit Theft Replacement Request Form - Extra Large Print (Spanish) | 10/01/2023 |
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FAA-1847A-XLP | Electronic Benefit Theft Replacement Request Form - Extra Large Print (English) | 10/01/2023 |
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FAA-1855A | Refugee Unit-Client Scheduling Intake Form | 08/01/2023 |
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FBU-1003A | DERS Direct Service Position | 05/01/2017 |
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FCT-1000A | Formal Request for Tribal Community | 01/01/2020 |
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FCT-1001A | Acknowledgment of Tribal Consultation Request | 09/01/2023 |
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FNS-252-2 | Application for Meal Services | 04/01/2019 |
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GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
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GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
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GCI-1021A | Individualized Family Service Plan - Packet | 04/01/2022 |
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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