You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
|
CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
|
GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
|
FAA-0412A | Change Report (English) | 05/01/2023 |
|
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
|
FAA-0620A | Treatment Center Change Report | 05/01/2023 |
|
DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
|
CCA-1170AS | Petición para el Retiro o Terminación de Solicitud - Para Proveedores de Cuidado de Niños | 05/01/2023 |
|
FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
|
FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
HRP-1052A-S | Aviso de Acción del Programa Suplementario de Comestibles Básicos (CSFP) | 08/01/2022 |
|
HRP-1052A | CSFP Notice of Action | 08/01/2022 |
|
DDD-2149A | Authorization to Release Records | 08/01/2022 |
|
HRP-1028A-S | Solicitud para Beneficios (TEFAP, CSFP) | 08/01/2022 |
|
FAA-1570A | Cash Assistance Drug Conviction Sanction Agreement | 08/01/2022 |
|
FAA-1828A | Provider Determination | 08/01/2022 |
|
GCI-1147B | Records Request Response (Contractors) | 08/01/2022 |
|
HRP-1028A | Application for Benefits (TEFAP, CSFP) | 08/01/2022 |
|
HRP-1032A | Commodity Senior Food Program (CSFP) Informal Dispute Resolution Meeting / Fair Hearing Request | 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 |
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