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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DDD-0097A-S | Pre-Service Provider Orientation (Spanish) | 11/01/2022 |
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CCA-0229A-FY23 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2023 (English/Spanish) | 11/01/2022 |
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OEO-1009A | Title VI/ADA Non Discrimination Notice to the Public (English / Spanish) | 11/01/2022 |
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CCA-1200A-S | About Me Questionnaire (Spanish) | 11/01/2022 |
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DDD-1972A | Application for Eligibility Determination Packet (English) | 11/01/2022 |
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RSA-1234A | Where Are You in the VR Process? | 11/01/2022 |
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CCA-1200A | About Me Questionnaire (English) | 11/01/2022 |
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DDD-2069A-S | DDD Eligibility Packet (Spanish) | 11/01/2022 |
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CC-214 | Child Care Provider Rate Agreement | 11/01/2022 |
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DDD-2069A | DDD Eligibility Packet (English) | 11/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
UB-296-S | Report of Illness or Physical Disability (Spanish) | 05/01/2018 |
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PPP-1063A | HIPAA Privacy Complaints (English) | 05/01/2018 |
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CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers | 05/01/2018 |
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CCA-1141A-S | Inscripción con Depósito Directo para Proveedores o Parientes Autorizados Por el DES | 05/01/2018 |
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DDD-289 | Child Developmental Foster Home Agreement | 04/01/2018 |
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PAU-592 | Data Disclosure Information and Fee Schedule | 04/01/2018 |
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CSE-1171A | Affidavit of Financial Information (English/Spanish) | 04/01/2018 |
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WIO-1079A | WIOA Pre-Approval Questionnaire for Equipment and Vehicles Over $5,000 | 04/01/2018 |
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LCR-1078A | OLCR Developmental Home Application Cover Page | 04/01/2018 |
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UIT-1146A | Limited Power of Attorney (English) | 04/01/2018 |
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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