You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
|
RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
|
FAA-1812A | FAA Virtual Services Flyer | 09/01/2022 |
|
DDD-1390A | Human Rights Committee Volunteer Application | 09/01/2022 |
|
FAA-1812A-S | Volante de los Servicios Virtuales de FAA | 09/01/2022 |
|
UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
|
RSA-1365A-LP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD And RSA (Large Print) | 09/01/2022 |
|
LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
|
UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
|
RSA-1365A-SLP | Autorización/Consentimiento para Divulgación y Uso de Información Confidencial entre DDD y RSA (Letra Grande) | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DES-1077A-LP | Notice of Privacy Practices - Large Print (English) | 09/01/2018 |
|
DES-1077A-S | Notice of Privacy Practices (Spanish) | 09/01/2018 |
|
DES-1077A-S-LP | Notice of Privacy Practices - Large Print (Spanish) | 09/01/2018 |
|
CC-001A-S | Derechos y Responsabilidades de la Asistencia para Cuidado de Niños | 08/01/2018 |
|
CC-001A | Child Care Assistance Rights and Responsibilities | 08/01/2018 |
|
DDD-1727A | Direct Service Position (English) | 07/01/2018 |
|
UIB-0098G | Eligibility Investigation Record -Vacation, Holiday, Sick or Severance Pay | 07/01/2018 |
|
DDD-1727A-S | Direct Service Position (Spanish) | 07/01/2018 |
|
CCA-1015A | Withdrawal or Termination Request (English) | 07/01/2018 |
|
CCA-1015A-S | Withdrawal or Termination Request (Spanish) | 07/01/2018 |
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