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-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
|
FAA-0255A-S | Afirmación De Hogares Por Separado | 05/01/2023 |
|
FAA-1725A-S | Verificación de Otros Ingresos | 05/01/2023 |
|
CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
|
FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
|
FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
|
FAA-0053A-LP | Verification of New/Current Employment - Large Print (English) | 05/01/2023 |
|
FAA-0255A | Separate Household Status Statement | 05/01/2023 |
|
FAA-1506A | Statement of No Income (English) | 05/01/2023 |
|
FAA-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
WIO-1040A | Training Provider Assurances | 06/01/2022 |
|
GCI-1046A-S | Carta de referencia | 06/01/2022 |
|
GCI-1034A | Records Released Log | 06/01/2022 |
|
UIB-1258A-S | Información acerca del Trabajo Compartido para Empleados | 06/01/2022 |
|
DCS-1339A | Request for Administrative Review (Seizure of Property) | 06/01/2022 |
|
CCA-1271A | Service Consent Form (English) | 06/01/2022 |
|
CCA-1271A-S | Service Consent Form (Spanish) | 06/01/2022 |
|
GCI-1095A | Joint Visit Planning Tool | 06/01/2022 |
|
CCA-1207A-S | Aviso Sobre Derechos de Monitorización - Verificación de Divulgación | 06/01/2022 |
|
LDU-1011A | Important Labor Dispute Information | 06/01/2022 |
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