You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
FAA-1249A-LP | Verification of Disability (Large Print) | 05/01/2023 |
FAA-1004A | Designation of EBT Alternate Card Holder (English) | 05/01/2023 |
GCI-1037A-S | Aviso o Recomendación de la Agencia de Educación Pública (PEA) | 05/01/2023 |
FAA-1506A | Statement of No Income (English) | 05/01/2023 |
FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
FAA-1725A | Verification of Other Income | 05/01/2023 |
FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
DDD-2090A | Program Integrity Requirements Verification | 03/01/2021 |
ESA-1338A | Language Line Translation Services Utilized | 03/01/2021 |
DDD-2093A | DDD Behavioral Health Advocate Referral | 03/01/2021 |
DDD-2092A | DDD Behavioral Health Advocacy Plan | 03/01/2021 |
DDD-2092A-S | Plan de Defensa de la Salud Conductual de la DDD | 03/01/2021 |
DDD-2087A | Documentation Guidelines: Occupational, Physical, and Speech-Language Pathology Therapy Services | 02/01/2021 |
UB-010 | Eligibility Review Questionnaire (English) | 02/01/2021 |
FAA-1796A | Affidavit of Visually Viewed Documentation | 02/01/2021 |
UB-010-S | Eligibility Review Questionnaire (Spanish) | 02/01/2021 |
RSA-1298A | Referral Form (English) | 02/01/2021 |
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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