You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0255A | Separate Household Status Statement | 05/01/2023 |
|
FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
|
FAA-0412A-XLP | Change Report - Extra Large Print (English) | 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-0257A | Individual Development Account Agreement | 05/01/2023 |
|
FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
|
FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
|
GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
|
AAA-1296A | Protect Yourself and Medicare | 05/01/2023 |
|
FAA-0412A-LP | Change Report - Large Print (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
LDU-1011A-S | Información importante sobre conflictos laborales | 06/01/2022 |
|
CSE-1318A | TANF child supplemental page | 06/01/2022 |
|
CCA-1207A-S | Aviso Sobre Derechos de Monitorización - Verificación de Divulgación | 06/01/2022 |
|
DCS-1339A-S | Solicitud de Revisión Administrativa (Incautación de Propiedad) | 06/01/2022 |
|
GCI-1046A | Referral Letter | 06/01/2022 |
|
CCA-1271A | Service Consent Form (English) | 06/01/2022 |
|
GCI-1046A-S | Carta de referencia | 06/01/2022 |
|
CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
|
CCA-1271A-S | Service Consent Form (Spanish) | 06/01/2022 |
|
GCI-1034A | Records Released Log | 06/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1748A | Strategic Plan 2016 - 2020 | 06/01/2016 |
|
DDD-1748B-S | Plan Estratégico 2016-2020 Resumen | 06/01/2016 |
|
DDD-1745A-S | Vehicle Safety Buckle Up - Q&A's (Spanish) | 06/01/2016 |
|
UIB-1220A | The Following Information is Required to File a New Application | 06/01/2016 |
|
DDD-1745A | Vehicle Safety Buckle Up - Q&A's (English) | 05/01/2016 |
|
UIB-1219B | How to File Your Weekly Claim (Bilingual) | 04/01/2016 |
|
UIB-1221B | How To Apply for UI Benefits (Bilingual) | 04/01/2016 |
|
DDD-1627A | FACT SHEET - Advance Directives End of Life Care (Eng/Spa) | 06/01/2015 |
|
DDD-1627B | FACT SHEET - Blood Lead Poisoning | 06/01/2015 |
|
DDD-1627C | FACT SHEET - Immunizations (Shots) (English/Spanish) | 06/01/2015 |
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