You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0574A | Withdrawal or Stop Benefits/Appeal Request | 05/01/2023 |
|
FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
|
GCI-1032A | IFSP Transition Meeting Invitation Prior Written Notice | 05/01/2023 |
|
CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
|
FAA-0412A-SLP | Change Report - Large Print (Spanish) | 05/01/2023 |
|
FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
|
FAA-1494A | Authorized Representative Removal | 05/01/2023 |
|
FAA-1765A | Authority to Release Information | 05/01/2023 |
|
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
|
FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1212A-S | Puesto de Servicio Directo (Formulario de certificación) | 07/01/2021 |
|
DDD-2104A | Member Interdisciplinary Team Summary | 07/01/2021 |
|
UIB-0098L | Eligibility Investigation Record - Transient Lodging Seasonal Employment | 06/01/2021 |
|
UIB-0126A | Request for Reconsideration/Appeal (English) | 06/01/2021 |
|
UIB-0098E | Eligibility Investigation Record - Education/School Bus Wages | 06/01/2021 |
|
UIB-0126A-S | Request for Reconsideration/Appeal (Spanish) | 06/01/2021 |
|
UIB-0098F | Job Offer Development, Referral, Eligibility Investigation Record | 06/01/2021 |
|
DDD-2107A | What Works and What Doesn't Work Worksheet | 06/01/2021 |
|
DDD-2106A | Member's Circles of Support | 06/01/2021 |
|
DDD-2107A-S | Hoja de Trabajo Sobre lo que Funciona y lo que no Funciona | 06/01/2021 |
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