You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-0255A-S | Afirmación De Hogares Por Separado | 05/01/2023 |
FAA-0051A | Verification of Financial Accounts (English) | 05/01/2023 |
FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
FAA-0255A | Separate Household Status Statement | 05/01/2023 |
FAA-0098C-S | Solicitud de Audiencia por Ajuste de Transacción EBT | 05/01/2023 |
FAA-0053A | Verification of New/Current Employment (English) | 05/01/2023 |
GCI-1041A | Consent to Bill Health Insurance | 05/01/2023 |
FAA-0559A | Food Distribution / Nutrition Assistance Program Participation | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
OEO-1011A | One-Stop Centers Monitoring Checklist for ADA Compliance | 07/01/2020 |
CSE-1185A | Affidavit of Credible Person Identifying Affiant (English/Spanish) | 07/01/2020 |
RSA-1390A | Statement of Services Rendered | 07/01/2020 |
GCI-1085A | Vision Screening Checklist | 07/01/2020 |
J-930-A | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) (English) | 07/01/2020 |
GCI-1085A-S | Lista de verificación para el examen de la visión | 07/01/2020 |
SNA-1000A-S | Rights and Responsibilities (Spanish) | 06/01/2020 |
GCI-1088A-S | Guía de Evaluación para los Niños y sus Familias | 06/01/2020 |
CSE-1016A | Waiver of Paternity Affidavit (English/Spanish) | 06/01/2020 |
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
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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