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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AAA-1407A | World Elder Abuse Awareness Day Postcard | 03/01/2023 |
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WIO-1200A | The RED Reentry Program | 03/01/2023 |
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RSA-1316A | American Indian Disability Summit Program | 03/01/2023 |
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CCA-1312A-S | Acuerdo del Proveedor/Padre/Madre/Tutor Acerca de los Costos de Cuidado de Niños No Cubiertos por el DES | 03/01/2023 |
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DDD-2153A | Likely Eligibility Tool (LET) | 03/01/2023 |
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DES-1254A | DES Programs and Services List | 03/01/2023 |
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SNA-1005A | Employment and Career Development Plan (ECDP) (English) | 03/01/2023 |
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WIO-1200A-S | El Programa de Reintegración RED | 03/01/2023 |
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SNA-1005A-S | Employment and Career Development Plan (ECDP) (Spanish) | 03/01/2023 |
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DES-1254A-S | Lista de Programas y Servicios de DES | 03/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UIB-0098A | Eligibility Investigation Record | 08/01/2019 |
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AAA-1122A | Host Agency Application | 08/01/2019 |
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UIA-1060A | Filing of Weekly Claims (English/Spanish) | 08/01/2019 |
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DDD-0524A-S | Authorization for Release of Information (Spanish) | 08/01/2019 |
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RSA-1312A | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
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CCA-0206A-S | Cuestionario para la Entrevista de Certificación Inicial | 07/01/2019 |
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RSA-1312A-S | Autorización Para Divulgación De Información De Salud a RSA | 07/01/2019 |
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CCA-1260A-S | Solicitud de Proveedor Suplente | 07/01/2019 |
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CCA-1261A-S | Solicitud de Proveedor Certificado de Cuidado de Niños Familiar | 07/01/2019 |
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UB-099-Y | Certification of Understanding (English / Spanish) | 07/01/2019 |
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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