You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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Number |
Name | Effective Date |
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DDD-2114A | Application for Redetermination of Eligibility at Age 18 (English) | 09/01/2023 |
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DDD-2114A-S | Application for Redetermination of Eligibility at Age 18 (Spanish) | 09/01/2023 |
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DDD-2116A | Community Resource Guide (English) | 02/01/2024 |
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DDD-2116A-S | Community Resource Guide (Spanish) | 08/01/2023 |
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DDD-2121A | Person-Centered Service Plan Supplement to the Individualized Family Service Plan (English) | 03/01/2024 |
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DDD-2121A-S | Person-Centered Service Plan Supplement to the Individualized Family Service Plan (Spanish) | 03/01/2024 |
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DDD-2131A | Volunteers Needed Postcard (English) | 06/01/2022 |
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DDD-2131A-S | Volunteers Needed Postcard (Spanish) | 06/01/2022 |
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DDD-2131B | Volunteers Needed/ Necesitan Voluntarios | 05/01/2023 |
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DDD-2139A | Exhibitor DDD Volunteerism Community Fair | 10/01/2022 |
Download | Number | Name | Effective Date |
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PPP-1127A-S | Authorization for Disclosure of Protected Health Information (Spanish) | 01/01/2018 |
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PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
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PUR-1036A | Participation in Boycott of Israel | 08/01/2023 |
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PUR-1037A | Forced Labor of Ethnic Uyghurs Ban | 08/01/2023 |
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RRP-1015A | Statement of Understanding | 10/01/2023 |
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RRP-1017A | Program Participants Application for Recertification (English) | 11/01/2023 |
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RRP-1017A-S | Program Participants Application for Recertification (Spanish) | 11/01/2023 |
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RRP-1018A | Client Employment & Income Attestation Form (English) | 11/01/2023 |
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RRP-1018A-S | Client Employment & Income Attestation Form (Spanish) | 11/01/2023 |
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RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
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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