You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger | 05/01/2023 |
|
FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
|
FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
|
FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
|
FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
|
FAA-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
|
FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
|
FAA-0255A | Separate Household Status Statement | 05/01/2023 |
|
CCA-1163A-S | Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores | 05/01/2023 |
|
FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
HRP-1028A | Application for Benefits (TEFAP, CSFP) | 08/01/2022 |
|
BEP-1010A | Operator Out of State and Instate Travel Procedure | 08/01/2022 |
|
HRP-1032A | Commodity Senior Food Program (CSFP) Informal Dispute Resolution Meeting / Fair Hearing Request | 08/01/2022 |
|
FAA-1570A-S | Acuerdo de Sanción de Asistencia en efectivo (CA) por condena de drogas | 08/01/2022 |
|
HRP-1052A-S | Aviso de Acción del Programa Suplementario de Comestibles Básicos (CSFP) | 08/01/2022 |
|
HRP-1052A | CSFP Notice of Action | 08/01/2022 |
|
DDD-2149A | Authorization to Release Records | 08/01/2022 |
|
HRP-1028A-S | Solicitud para Beneficios (TEFAP, CSFP) | 08/01/2022 |
|
FAA-1828A | Provider Determination | 08/01/2022 |
|
HRP-1032A-S | Programa Suplementario de Comestibles Básicos (CSFP) Solicitud para Reunión Informal de Resolución de Disputas / Audiencia Imparcial | 08/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1807ACRD | Volunteer with a Human Rights Committee (Card) | 03/01/2017 |
|
DDD-1807ACRD-S | Volunteer with a Human Rights Committee (Card Spanish) | 03/01/2017 |
|
DIR-1022C | DES on the GO | 01/01/2017 |
|
OBM-1000A | The Office of the Ombudsman | 01/01/2017 |
|
DIR-1022C-S | DES en Movimiento | 01/01/2017 |
|
OBM-1000A-S | La Oficina de Defensor de Cliente | 01/01/2017 |
|
DDD-1795APAMPD | Dental Care Adult (Ages 21+) | 12/01/2016 |
|
DDD-1795APAMS | Cuidado Dental Adulto (Edad 21+) | 12/01/2016 |
|
DDD-1751A | Responsible Driving Information Fact Sheet#6 (English) | 07/01/2016 |
|
DDD-1748B | Strategic Plan 2016-2020 Overview | 07/01/2016 |
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