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-1305A-S | Pre-Employment Transition Services Request Form for Students with Disabilities (Spanish) | 03/01/2023 |
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AAA-1407A | World Elder Abuse Awareness Day Postcard | 03/01/2023 |
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LCR-1064A | Statement of Understanding-Application for HCBS Certification | 03/01/2023 |
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CCA-0227A | Self-Employment Monthly Income Log | 03/01/2023 |
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DDD-1747A | Assisted Living Facility (ALF) Residential Facility (English) | 03/01/2023 |
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WIO-1200A | The RED Reentry Program | 03/01/2023 |
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LCR-1064A-S | Declaración de Entendimiento Solicitud de Certificación para HCBS | 03/01/2023 |
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CCA-0227A-S | Registro Mensual de Ingresos por Cuenta Propia | 03/01/2023 |
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SNA-1005A | Employment and Career Development Plan (ECDP) (English) | 03/01/2023 |
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CCA-1312A-S | Acuerdo del Proveedor/Padre/Madre/Tutor Acerca de los Costos de Cuidado de Niños No Cubiertos por el DES | 03/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-0221A-LP | Spending Plan - Large Print (English) | 02/01/2020 |
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GCI-1038B | Consent for Evaluation - Prior Written Notice | 02/01/2020 |
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GCI-1038B-S | Consentimiento para Evaluación - Aviso Previo por Escrito | 02/01/2020 |
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CSE-1157A | Non-Custodial Parent Request for Administrative Review (English/Spanish) | 02/01/2020 |
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UB-217 | Wage / Employment Investigation Request (English) | 01/01/2020 |
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FCT-1000A | Formal Request for Tribal Community | 01/01/2020 |
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UB-217C | Wage Protest (English) | 01/01/2020 |
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FAA-0075A | Verification of School Attendance/Verificación de Asistencia Escolar | 12/01/2019 |
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FAA-1442A | Tribal-Authority to Release Information / Autoridad Tribal para Divulgar Información | 12/01/2019 |
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CCA-0218A-S | Sign-In/Sign-Out Record (Spanish) | 10/01/2019 |
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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