You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
FAA-1725A-S | Verificación de Otros Ingresos | 05/01/2023 |
GCI-1037A-S | Aviso o Recomendación de la Agencia de Educación Pública (PEA) | 05/01/2023 |
FAA-0255A | Separate Household Status Statement | 05/01/2023 |
FAA-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
CCA-1170AS | Petición para el Retiro o Terminación de Solicitud - Para Proveedores de Cuidado de Niños | 05/01/2023 |
FAA-1765A-S | Autoridad para Divulgar Información | 05/01/2023 |
GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
FAA-0053A-LP | Verification of New/Current Employment - Large Print (English) | 05/01/2023 |
FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
DDD-2036A | Member Funds Monthly Ledger (English) | 12/01/2020 |
CCA-0201A | Certification Statement for Providing Child Care Services | 12/01/2020 |
CCA-0201A-S | Declaración de Certificación para Proveer Servicios de Cuidado de Niños | 12/01/2020 |
CSE-0258A | Affidavit of Paternity Rescission (English/Spanish) | 12/01/2020 |
DDD-2063A | Ongoing Quarterly Progress Report (QPR) Plan of Care/Treatment Plan | 12/01/2020 |
CCA-1277A | Sample Child Care Provider Expulsion Prevention Policy (English) | 11/01/2020 |
CCA-1277A-S | Sample Child Care Provider Expulsion Prevention Policy (Spanish) | 11/01/2020 |
LCR-1030A | Request to Withdraw HCBS Certification | 10/01/2020 |
LCR-1063A | Developmental Home License Denial, Revocation or Suspension Hearing Request | 10/01/2020 |
LCR-1063A-S | Petición Audiencia Sobre Denegación, Revocación o Suspensión de Certificación de Hogar de o Comunitario | 10/01/2020 |
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