You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1004A-S | Designation of EBT Alternate Card Holder (Spanish) | 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-0412A-SXLP | Change Report - Extra Large Print (Spanish) | 05/01/2023 |
|
FAA-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
|
AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
|
CCA-1175A | Landlord Permission to Provide Family Child Care Service | 05/01/2023 |
|
FAA-0412A-SLP | Change Report - Large Print (Spanish) | 05/01/2023 |
|
FAA-1494A | Authorized Representative Removal | 05/01/2023 |
|
FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UIB-0098M | Record of Employment | 06/01/2021 |
|
UIB-0098R | Record of Employment | 06/01/2021 |
|
UIB-0098S | Training Certification and Eligibility Investigation Record | 06/01/2021 |
|
UIB-0126A | Request for Reconsideration/Appeal (English) | 06/01/2021 |
|
CCA-1276A-S | Action Plan (Spanish) | 06/01/2021 |
|
UIB-0098B | Eligibility Investigation Record - Pension | 06/01/2021 |
|
WIO-1144A | Eligible Training Provider List (LWDB) | 06/01/2021 |
|
UIB-0126A-S | Request for Reconsideration/Appeal (Spanish) | 06/01/2021 |
|
CCA-1276A | Action Plan (English) | 06/01/2021 |
|
WIO-1144B | Eligible Training Provider List LWDB Monitoring Tool | 06/01/2021 |
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