You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
ESA-1126A-S | Cancellation of Direct Deposit (Spanish) | 04/01/2020 |
DES-1-92-03 | Tribal Government Consultation Policy | 04/14/2020 |
DES-1-92-03-01 | Tribal Government Consultation Procedures | 04/14/2020 |
Statistical Bulletin March 2020 | Statistical Bulletin March 2020 | 04/15/2020 |
30th Month February 2020 | 30th Month Financial Report FY 2020 through February 2020 | 04/23/2020 |
GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
GCI-1039A | Consent to Obtain Information (English) | 05/01/2020 |
GCI-1039AS | Consent to Obtain Information (Spanish) | 05/01/2020 |
DES-1198A | Human Services Campus | 05/01/2020 |
AAA-1355A | APS Registry Employer Certification Form | 05/01/2020 |
Number | Document Name | Effective Date |
---|---|---|
FAA-1724A-S | Application Signature Pages (Spanish) | 07/01/2023 |
PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
CCA-1198A | Acknowledgement of Receipt and Understanding | 07/01/2023 |
FAA-1724A-SLP | Application Signature Pages- Large Print (Spanish) | 07/01/2023 |
FAA-1724A-SXLP | Application Signature Pages- Extra Large Print (Spanish) | 07/01/2023 |
LCR-1041A | Voluntary Withdrawal of Application for Licensure or Voluntary Closure of License (English) | 07/01/2023 |
DDD-1783A | Habilitation Outcome Strategies (English) | 07/01/2023 |
CCA-1197A | Emergency Preparedness and Response Plan for Certified Family Child Care Providers (English) | 07/01/2023 |
FAA-1410A | Grant Diversion Script and Applicant Agreement (English) | 07/01/2023 |
FAA-1415A-SLP | Illegal Drug Use Statement - Large Print (Spanish) | 07/01/2023 |
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