You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
|
FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
|
FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
|
FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
|
CCA-0221A-S | Declaración de Servicios del Proveedor de Cuidado en Casa de Familia | 05/01/2023 |
|
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
|
FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
|
FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
|
FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
|
GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CS-127-PF | Acknowledgment of Paternity (English / Spanish) | 07/01/2022 |
|
HRP-1016A | Volunteer Confidentiality | 07/01/2022 |
|
HRP-1039A-S | Programa Suplementario de Comestibles Básicos (CSFP) Derechos y obligaciones del participante | 07/01/2022 |
|
HRP-1039A | Commodity Senior Food Program (CSFP) Participant Rights and Obligations | 07/01/2022 |
|
HRP-1016A-S | Confidencialidad del Voluntario | 07/01/2022 |
|
HRP-1015A-S | Annual Civil Rights Training (Spanish) | 07/01/2022 |
|
HRP-1001A | USDA Commodity Loss Report (CLR) | 07/01/2022 |
|
HRP-1053A | CSFP Annual Agreement- CHRP/RFB | 06/01/2022 |
|
CCA-1207A-S | Aviso Sobre Derechos de Monitorización - Verificación de Divulgación | 06/01/2022 |
|
GCI-1046A | Referral Letter | 06/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1717A | Hot Topics - Heat Hazards | 05/01/2015 |
|
DDD-1698A-S | Dental Care Ages Birth - 21 (Spanish) | 04/01/2015 |
|
DDD-1698A | Dental Care Ages Birth - 21 (English) | 04/01/2015 |
|
DDD-1700A | Keep Your Baby Healthy | 02/01/2015 |
|
AAA-1100A | SCSEP Participant Handbook | 11/01/2011 |
|
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 |
|
AAA-1188A | Long Term Care Ombudsman Manual | 03/23/2011 |
|
Ombudsman Manual | Ombudsman Manual | 03/23/2011 |
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