You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
|
CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
|
FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
|
FAA-1366A | Eligibility Requirements | 05/01/2023 |
|
FAA-0259A-S | Denuncia de Abuso o Negligencia de un Padre Soltero que es Menor de Edad | 05/01/2023 |
|
FAA-1353A-S | Afidávit que Certifica la Ciudadanía para recibir Asistencia en Efectivo y Asistencia Nutricional | 05/01/2023 |
|
FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
|
GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
|
DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
|
CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2100A-S | Hoja de horas de verificación de visita electrónica de DDD | 09/01/2021 |
|
DDD-2100A | DDD Electronic Visit Verification Paper Timesheet | 09/01/2021 |
|
CSE-1129A | Electronic Payment Authorization (English) | 09/01/2021 |
|
CSE-1281A | Agreement to Accept Service by Mail Paternity or Establishment (English/Spanish) | 09/01/2021 |
|
DDD-2101A-S | Electronic Visit Verification (EVV) Paper Timesheet Attestation (Spanish) | 09/01/2021 |
|
CSE-1129A-S | Electronic Payment Authorization (Spanish) | 09/01/2021 |
|
DDD-2102A | Electronic Visit Verification (EVV) Designee Attestation (English) | 09/01/2021 |
|
CSE-1168A | Agreement to Accept Service by Mail - TANF Workshops | 09/01/2021 |
|
DDD-2102A-S | Electronic Visit Verification (EVV) Designee Attestation (Spanish) | 09/01/2021 |
|
DDD-2098A | Hourly Nursing Assessment Tool (H-NAT) | 09/01/2021 |
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