You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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RSA-1298B-LP | Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral (Large Print) | 01/01/2023 |
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RSA-1448A-S | Programa para Personas de la Tercera Edad que son Ciegas (folleto de 1/2 página) | 01/01/2023 |
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RSA-1298B-SLP | Recomendación para el Programa de Verano para Jóvenes Ciegos/Visión Reducida Sordo/Dificultades Auditivas (Letra Grande) | 01/01/2023 |
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DDD-1003A-S | Evaluación PASRR II | 01/01/2023 |
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HRP-1017A | Request to Terminate USDA Distribution Site | 01/01/2023 |
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UC-018 | Unemployment Tax Wage Report (English) | 01/01/2023 |
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OEO-1005A | Limited English Proficiency (LEP) Annual Monitoring Report Requirements Checklist | 01/01/2023 |
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CCA-0100A | Provider's Child Care Operational Information | 01/01/2023 |
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CCA-0100A-S | Información de las Operaciones de un Proveedor de Cuidado de Niños | 01/01/2023 |
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RSA-1447A | Older Individuals who are Blind Program (full page flyer) | 01/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UIB-0098A | Eligibility Investigation Record | 08/01/2019 |
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AAA-1122A | Host Agency Application | 08/01/2019 |
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RSA-1376A | Request for Vending Services Placement | 08/01/2019 |
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DDD-0524A-S | Authorization for Release of Information (Spanish) | 08/01/2019 |
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RSA-1312A | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
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RSA-1312A-S | Autorización Para Divulgación De Información De Salud a RSA | 07/01/2019 |
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CCA-0206A-S | Cuestionario para la Entrevista de Certificación Inicial | 07/01/2019 |
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UB-099-Y | Certification of Understanding (English / Spanish) | 07/01/2019 |
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CCA-1260A-S | Solicitud de Proveedor Suplente | 07/01/2019 |
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LCR-1007A | Home Visit Report Supplement to Notice of Inspection and Due Process Rights | 07/01/2019 |
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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