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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FAA-1847A-LP | Electronic Benefit Theft Replacement Request Form - Large Print (English) | 10/01/2023 |
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FAA-1847A | Electronic Benefit Theft Replacement Request Form (English) | 10/01/2023 |
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FAA-1842A-S | Remplazo de Beneficios de Asistencia Nutricional (NA) - Alimentos Destruidos en un Desastre o Desgracia | 10/01/2023 |
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FAA-1842A | Replacement of Nutrition Assistance Benefits - Food Destroyed in a Disaster/Misfortune | 10/01/2023 |
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FAA-1841A-S | Regreso a Renovaciones Regulares de MA | 09/01/2023 |
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FAA-1841A | Return to Regular MA Renewals | 09/01/2023 |
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FAA-1840A-S | Mantenga sus Beneficios a Salvo | 06/01/2023 |
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FAA-1840A | Keep Your Benefits Safe | 06/01/2023 |
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FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
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FAA-1828A | Provider Determination | 08/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
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CCA-1061A-S | Un Mensaje para mi Especialista en Cuidado de Niños | 11/01/2017 |
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CCA-1061A | A Message for My Child Care Specialist | 11/01/2017 |
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CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
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CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
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CCA-1015A-S | Withdrawal or Termination Request (Spanish) | 07/01/2018 |
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CCA-1015A | Withdrawal or Termination Request (English) | 07/01/2018 |
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CCA-0519A | Child Care Programs (English) | 09/01/2023 |
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CCA-0231A-2022 | Child Care Assistance Unwed Minor Parent Deeming Worksheet | 07/01/2022 |
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CCA-0231A | Child Care Assistance Unwed Minor Parent Deeming Worksheet | 09/01/2023 |
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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