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-1312A | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
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UB-099-Y | Certification of Understanding (English / Spanish) | 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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LCR-1007A | Home Visit Report Supplement to Notice of Inspection and Due Process Rights | 07/01/2019 |
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DDD-1954-S | Participación en DDD | 07/01/2019 |
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LCR-1007A-S | Informe de Visita al Hogar Suplemento Al Aviso de Derechos De Inspección y Debido Proceso | 07/01/2019 |
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CCA-1230A | Avoiding the Child Care Waiting List | 07/01/2019 |
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CCA-0206A-S | Cuestionario para la Entrevista de Certificación Inicial | 07/01/2019 |
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CCA-1230A-S | Evitar la lista de espera para el cuidado de niños | 07/01/2019 |
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CCA-1260A-S | Solicitud de Proveedor Suplente | 07/01/2019 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-0208A | Community Living Services (CLS) Application and Agreement (English) | 12/01/2022 |
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AAA-1204A | Volunteer Performance Evaluation | 12/01/2022 |
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DDD-1542A-S | Assisted Living Center Occupancy (Spanish) | 12/01/2022 |
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CCA-0036A-S | Permiso para Administrar Medicamentos | 12/01/2022 |
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DDD-2051A_2022 | Policy Development Tool 2022 | 12/01/2022 |
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AAA-1180A | Volunteer Application | 12/01/2022 |
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CCA-0039A | Medical Statement (English) | 12/01/2022 |
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CCA-0100A | Provider's Child Care Operational Information | 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-S | Información de las Operaciones de un Proveedor de Cuidado de Niños | 01/01/2023 |
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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