You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0177A | Claim of Good Cause (Eng/Span) | 06/01/2023 |
|
FAA-1821A-SXLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Extra Large Print (Spanish) | 06/01/2023 |
|
FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
|
FAA-1839A | MyFamilyBenefits Postcard (English/Spanish) | 06/01/2023 |
|
FAA-1788A | Proof of Eligibility Card | 06/01/2023 |
|
FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
|
DDD-1479A | Notice of Extension (English) | 06/01/2023 |
|
GCI-1161A-3 | Service Coordination Services Programmatic Meeting June 2023 | 06/01/2023 |
|
FAA-1111A-S | Formulario para Verificar la Declaración del Participante | 06/01/2023 |
|
FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1271A | Service Consent Form (English) | 06/01/2022 |
|
CCA-1271A-S | Service Consent Form (Spanish) | 06/01/2022 |
|
GCI-1046A | Referral Letter | 06/01/2022 |
|
DCS-1339A | Request for Administrative Review (Seizure of Property) | 06/01/2022 |
|
CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
|
LDU-1011A | Important Labor Dispute Information | 06/01/2022 |
|
GCI-1046A-S | Carta de referencia | 06/01/2022 |
|
LDU-1011A-S | Información importante sobre conflictos laborales | 06/01/2022 |
|
GCI-1034A | Records Released Log | 06/01/2022 |
|
CSE-1318A | TANF child supplemental page | 06/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1717A | Hot Topics - Heat Hazards | 05/01/2015 |
|
DDD-1698A | Dental Care Ages Birth - 21 (English) | 04/01/2015 |
|
DDD-1698A-S | Dental Care Ages Birth - 21 (Spanish) | 04/01/2015 |
|
DDD-1700A | Keep Your Baby Healthy | 02/01/2015 |
|
PAD-588-PD | Decisions About Your Health Care | 11/01/2011 |
|
PAD-588-PDS | Decisiones sobre el cuidado de su salud | 11/01/2011 |
|
DDD-1558A | Choking (Prevention is No Accident!) (English) | 11/01/2011 |
|
AAA-1100A | SCSEP Participant Handbook | 11/01/2011 |
|
AAA-1188A | Long Term Care Ombudsman Manual | 03/23/2011 |
|
Ombudsman Manual | Ombudsman Manual | 03/23/2011 |
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