You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
|
DDD-1883A-S | ¿Qué es PASRR? Una guía para las familias | 02/01/2023 |
|
CSE-1225A-S | Cuidadores que Crían Niños | 02/01/2023 |
|
DDD-1883A | What is PASRR? | 02/01/2023 |
|
CCA-1216A | Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES | 02/01/2023 |
|
LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
|
DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
|
DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
|
DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
|
FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-0218A | Sign-In/Sign-Out Record (English) | 10/01/2019 |
|
CCA-0218B | Sign-In/Sign-Out Record (Extended Version) | 10/01/2019 |
|
CCA-0218B-S | Registro de Entradas y Salidas (Versión extendida) | 10/01/2019 |
|
CCA-0218A-S | Sign-In/Sign-Out Record (Spanish) | 10/01/2019 |
|
LCR-1034A-S | Criminal History Self Disclosure Affidavit (Spanish) | 10/01/2019 |
|
GCI-1113A | Child Transfer Form | 10/01/2019 |
|
AAA-1120A | Participant Evaluation | 09/01/2019 |
|
DDD-1532A | Hardship Reduction Request (English) | 09/01/2019 |
|
DDD-1532A-S | Hardship Reduction Request (Spanish) | 09/01/2019 |
|
RSA-1383A | BEP Training - Applicant Checklist | 09/01/2019 |
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