You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
RSA-1376A | Request for Vending Services Placement | 08/01/2019 |
CSE-0167A-S | Request for Title IV-D Child Support Services and Applicant’s Rights and Responsibilities (Spanish) | 01/01/2024 |
CSE-0167A | Request for Title IV-D Child Support Services and Applicant’s Rights and Responsibilities (English) | 01/01/2024 |
CCA-1211A-S | Request for Search of Background Checks (Spanish) | 05/01/2022 |
CCA-1211A | Request for Search of Background Checks (English) | 05/01/2022 |
CSE-1158A-S | Request for Review of Arrears (Spanish) | 09/01/2024 |
CSE-1158A | Request for Review of Arrears (English) | 09/01/2024 |
DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
UIB-0126A-S | Request for Reconsideration/Appeal (Spanish) | 06/01/2021 |
UIB-0126A | Request for Reconsideration/Appeal (English) | 06/01/2021 |
Number | Document Name | Effective Date |
---|---|---|
ESA-1306A | Employment Service Registration | 07/01/2023 |
CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
CCA-0024A | Employment and Wage Verification Statement (English) | 11/01/2021 |
SNA-1005A-S | Employment and Career Development Plan (ECDP) (Spanish) | 03/01/2023 |
SNA-1005A | Employment and Career Development Plan (ECDP) (English) | 03/01/2023 |
UB-194-FF | Employer Verification or Requalifying Earnings | 04/01/2022 |
CSE-1163A | Employer Address Information | 08/01/2023 |
CCA-1197A | Emergency Preparedness and Response Plan for Certified Family Child Care Providers | 07/01/2023 |
CCA-1199A-S | Emergency Preparedness & Response Planning (Spanish) | 04/01/2022 |
CCA-1199A | Emergency Preparedness & Response Planning (English) | 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