You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1410A | Grant Diversion Script and Applicant Agreement | 07/01/2023 |
FAA-1492A | Authorized Representatives - Rights & Responsibilities | 07/01/2023 |
PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
FAA-1410A-S | Acuerdo de Solicitante y Guión de Desvío de Subvención | 07/01/2023 |
FAA-0620D | Supplemental Pages for the Treatment Center Monthly Roster | 07/01/2023 |
FAA-1775A | How Do I File a Complaint (English/Spanish) | 07/01/2023 |
FAA-1410A-LP | Grant Diversion Script and Applicant Agreement (Large Print) | 07/01/2023 |
DDD-0308A | Individual Emergency Information - Residential | 07/01/2023 |
CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care (English) | 07/01/2023 |
FAA-1492A-S | Representantes Autorizados - Derechos y Responsabilidades | 07/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
UB-195-SFF | Affidavit as to Forged Endorsement (Spanish) | 05/01/2022 |
CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
DDD-2039A | HCBS Member Needs Assessment | 05/01/2022 |
DDD-2039A-S | HCBS Member Needs Assessment (Spanish) | 05/01/2022 |
FAA-1701A-XLP | Verification of Terminated Employment - Extra Large Print (English) | 05/01/2022 |
CCA-1211A | Request for Search of Background Checks (English) | 05/01/2022 |
DDD-2039A-LP | HCBS Member Needs Assessment (Large Print) | 05/01/2022 |
CSE-1178A | Child Support Modification Packet (English) | 05/01/2022 |
DDD-2039A-SLP | HCBS Member Needs Assessment (Spanish Large Print) | 05/01/2022 |
CSE-1178A-S | Child Support Modification Packet (Spanish) | 05/01/2022 |
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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