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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DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
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DDD-1883A | What is PASRR? | 02/01/2023 |
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DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
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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 |
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RSA-1322A | Pre-Employment Transition Services | 02/01/2023 |
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LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
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RSA-1322A-S | Servicios de Transición Previa al Empleo | 02/01/2023 |
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DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
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DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
LCR-1034A | Criminal History Self Disclosure Affidavit (English) | 10/01/2019 |
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GCI-1113A | Child Transfer Form | 10/01/2019 |
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LCR-1034A-S | Criminal History Self Disclosure Affidavit (Spanish) | 10/01/2019 |
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CCA-0218A | Sign-In/Sign-Out Record (English) | 10/01/2019 |
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CCA-0218B | Sign-In/Sign-Out Record (Extended Version) | 10/01/2019 |
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CCA-0218B-S | Registro de Entradas y Salidas (Versión extendida) | 10/01/2019 |
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RSA-1386A | BEP 8 Step Process | 09/01/2019 |
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DDD-1532A | Hardship Reduction Request (English) | 09/01/2019 |
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CCA-1116A | Child Care Assistance Priority Waiting List Income Table | 09/01/2019 |
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RSA-1384A | BEP Job-Shadowing Evaluation | 09/01/2019 |
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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