You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1721A-S | Building a Relationship with a Direct Care Worker (Spanish) | 08/01/2019 |
|
AAA-1122A | Host Agency Application | 08/01/2019 |
|
POU-003 | Notice to Employees (English) | 08/01/2019 |
|
DDD-0524A-S | Authorization for Release of Information (Spanish) | 08/01/2019 |
|
POU-003-S | Notice to Employees (Spanish) | 08/01/2019 |
|
DDD-0524A | Authorization for Release of Information (English) | 08/01/2019 |
|
UIB-1241A | Take Care of Unemployment Business by the Internet or Telephone (English) | 08/01/2019 |
|
DDD-1328A | Referral to Vocational Rehabilitation (English) | 08/01/2019 |
|
UIB-1241A-S | Take Care of Unemployment Business by the Internet or Telephone (Spanish) | 08/01/2019 |
|
UIB-0098A | Eligibility Investigation Record | 08/01/2019 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
|
FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
|
DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
|
DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
|
DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
|
DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
|
DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
|
DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
|
DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
|
WIO-1108A | WIOA EO Monitoring Review Guide | 02/01/2023 |
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