You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
FAA-1533A | Verification of Unfitness for Work for Adults | 05/01/2023 |
CCA-0221A | Family Child Care Provider Statement of Services | 05/01/2023 |
FAA-1506A-S | Statement of No Income (Spanish) | 05/01/2023 |
FAA-1494A-XLP | Authorized Representative Removal (Extra Large Print) | 05/01/2023 |
FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
CCA-0221A-S | Declaración de Servicios del Proveedor de Cuidado en Casa de Familia | 05/01/2023 |
DDD-1678A | Home Modifications Service Assessment (English) | 05/01/2023 |
FAA-0053A-XLP | Verification of New/Current Employment - Extra Large Print (English) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
GCI-1042A | Family Survey | 07/01/2020 |
GCI-1042A-S | Encuesta Familiar | 07/01/2020 |
RSA-1390A | Statement of Services Rendered | 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 |
CSE-1185A | Affidavit of Credible Person Identifying Affiant (English/Spanish) | 07/01/2020 |
GCI-1082A | Consent for Screening - Prior Written Notice | 06/01/2020 |
GCI-1082A-S | Consentimiento para Evaluación - Notificación Previa por Escrito | 06/01/2020 |
LCR-1053A | Renewal Application Worksheet (English) | 06/01/2020 |
SNA-1000A-S | Rights and Responsibilities (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