You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2107A-S | Hoja de Trabajo Sobre lo que Funciona y lo que no Funciona | 06/01/2021 |
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DDD-2113A | DDD-EVV Member Contingency / IP Model Back-up Plan (English) | 01/01/2022 |
|
DDD-2113A-S | DDD-EVV Member Contingency / IP Model Back-up Plan (Spanish) | 01/01/2022 |
|
DDD-2114A | Application for Redetermination of Eligibility at Age 18 (English) | 09/01/2023 |
|
DDD-2114A-S | Application for Redetermination of Eligibility at Age 18 (Spanish) | 09/01/2023 |
|
DDD-2116A | Community Resource Guide (English) | 02/01/2024 |
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DDD-2116A-S | Community Resource Guide (Spanish) | 02/01/2024 |
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DDD-2121A | Person-Centered Service Plan Supplement to the Individualized Family Service Plan (English) | 03/01/2024 |
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DDD-2121A-S | Person-Centered Service Plan Supplement to the Individualized Family Service Plan (Spanish) | 03/01/2024 |
|
DDD-2131A | Volunteers Needed Postcard (English) | 06/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
|
RSA-1312A-S | Autorización Para Divulgación De Información De Salud a RSA | 07/01/2019 |
|
RSA-1313A | Authorization for Release of RSA Records | 05/01/2018 |
|
RSA-1313A-LP | Authorization for Release of RSA Records (Large Print) | 09/01/2022 |
|
RSA-1313A-S | Autorización de Divulgación de Registros de RSA | 05/01/2018 |
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RSA-1313A-SLP | Autorización de Divulgación de Registros de RSA (Letra Grande) | 09/01/2022 |
|
RSA-1365A | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA | 03/01/2019 |
|
RSA-1365A-LP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD And RSA (Large Print) | 09/01/2022 |
|
RSA-1365A-S | Autorización/Consentimiento Para Divulgación y Uso de Información Confidencial Entre DDD y RSA | 03/01/2019 |
|
RSA-1365A-SLP | Autorización/Consentimiento para Divulgación y Uso de Información Confidencial entre DDD y RSA (Letra Grande) | 09/01/2022 |
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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