You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0257A | Individual Development Account Agreement | 05/01/2023 |
|
FAA-1506A | Statement of No Income (English) | 05/01/2023 |
|
GCI-1032A | IFSP Transition Meeting Invitation Prior Written Notice | 05/01/2023 |
|
FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
|
FAA-0412A | Change Report (English) | 05/01/2023 |
|
CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
|
FAA-1494A | Authorized Representative Removal | 05/01/2023 |
|
FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 05/01/2023 |
|
FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
|
GCI-1032A-S | Invitación a una Reunión de Transición del IFSP Notificación Previa por Escrito | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UB-010 | Eligibility Review Questionnaire (English) | 02/01/2021 |
|
UB-010-S | Eligibility Review Questionnaire (Spanish) | 02/01/2021 |
|
LCR-1086A | Application for Child Developmental Home Certification | 01/01/2021 |
|
LCR-1054A-S | Formulario de Solicitud Inicial | 01/01/2021 |
|
DDD-2086A | Support Coordinator Screening and Discharge for Occupational, Physical, and Speech Therapy | 01/01/2021 |
|
DDD-2088A | Evaluation Report Plan of Care/Treatment: Certification/Recertification | 01/01/2021 |
|
CSE-1315A | Federal Form - General Testimony | 01/01/2021 |
|
CSE-1315B | Federal Form - General Testimony Instructions | 01/01/2021 |
|
DDD-2036A | Member Funds Monthly Ledger (English) | 12/01/2020 |
|
CCA-0201A | Certification Statement for Providing Child Care Services | 12/01/2020 |
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