You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1506A | Statement of No Income (English) | 05/01/2023 |
|
FAA-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
|
FAA-0065A-LP | Verification of Living Arrangements/Residential Address - Large Print (English) | 05/01/2023 |
|
FAA-0255A | Separate Household Status Statement | 05/01/2023 |
|
CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
|
FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
|
FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
|
FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
|
FAA-1701A-LP | Verification of Terminated Employment - Large Print (English) | 05/01/2023 |
|
FAA-1494A-SLP | Remoción de un(a) Representante Autorizado(a) (Letra Grande) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UIB-0101C | Work Search Plan of Action Affidavit (English) | 07/01/2022 |
|
HRP-1016A | Volunteer Confidentiality | 07/01/2022 |
|
HRP-1015A-S | Annual Civil Rights Training (Spanish) | 07/01/2022 |
|
HRP-1039A-S | Programa Suplementario de Comestibles Básicos (CSFP) Derechos y obligaciones del participante | 07/01/2022 |
|
CS-127-PF | Acknowledgment of Paternity (English / Spanish) | 07/01/2022 |
|
HRP-1001A | USDA Commodity Loss Report (CLR) | 07/01/2022 |
|
UIB-0101C-S | Declaración Jurada del Plan de Búsqueda de Trabajo | 07/01/2022 |
|
CCA-1207A-S | Aviso Sobre Derechos de Monitorización - Verificación de Divulgación | 06/01/2022 |
|
CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
|
CCA-1271A | Service Consent Form (English) | 06/01/2022 |
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