You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
EAP-1004A-S | Applicant Statement of Tribal LIHEAP Denial (Spanish) | 12/01/2022 |
DDD-0208A-S | Community Living Services (CLS) Application and Agreement (Spanish) | 12/01/2022 |
DDD-1541A | ALTCS Enrollment Transition Information (ETI) (English) | 12/01/2022 |
DDD-1542A-S | Assisted Living Center Occupancy (Spanish) | 12/01/2022 |
CCA-0039A | Medical Statement (English) | 12/01/2022 |
AAA-1178A | Training Record | 12/01/2022 |
LCR-1000A | Agency Compliance Audit Checklist (English) | 12/01/2022 |
DDD-0208A | Community Living Services (CLS) Application and Agreement (English) | 12/01/2022 |
AAA-1346A | Medical Need Verification | 12/01/2022 |
EAP-1004A | Applicant Statement of Tribal LIHEAP Denial (English) | 12/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
DD-099-A | Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old | 03/01/2018 |
DD-099-B | Pre-PAS Screening Tool for Members at Least 2 Years 10 Months Old, But Less than 6 Years Old | 03/01/2018 |
DD-099-C | Pre-PAS Screening Tool Only for Members between 6 and 11 Years Old | 03/01/2018 |
DDD-1651A | COBV Waiver Request (English) | 03/01/2018 |
DD-099-D | Pre-PAS Screening Tool for Members At Least 12 Years Old | 03/01/2018 |
UB-130A | Work History (English) | 03/01/2018 |
UB-130A-S | Work History (Spanish) | 03/01/2018 |
DDD-1402C | Group Supported Employment - Quality Assurance Review (English) | 03/01/2018 |
UB-092-A | Confidential Financial Statement (English) | 03/01/2018 |
UC-514 | Report of Changes Form (English) | 03/01/2018 |
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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