You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
CCA-1198A-S | Acuse de Recibo y Entendimiento | 07/01/2023 |
FAA-1714A-S | Mid Approval Contact - Lobby (Spanish) | 07/01/2023 |
ESA-1306A | Employment Service Registration | 07/01/2023 |
FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
FAA-1415A-S | Illegal Drug Use Statement (Spanish) | 07/01/2023 |
FAA-1818A | Nutrition Assistance (NA) Medical Expense Deduction | 07/01/2023 |
FAA-1145A | Authorization to Share Information (English/Spanish) | 07/01/2023 |
ESA-1306A-S | Inscripción con el Servicio de Empleo | 07/01/2023 |
FAA-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
FAA-1148A | Medical Incapacity Statement (Hospitalized Applicant) | 07/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
HRP-1041A | Commodity Senior Food Program (CSFP) Waiting List Enrollment Notification | 08/01/2022 |
HRP-1028A-S | Solicitud para Beneficios (TEFAP, CSFP) | 08/01/2022 |
BEP-1010A | Operator Out of State and Instate Travel Procedure | 08/01/2022 |
FAA-1570A | Cash Assistance Drug Conviction Sanction Agreement | 08/01/2022 |
FAA-1570A-S | Acuerdo de Sanción de Asistencia en efectivo (CA) por condena de drogas | 08/01/2022 |
DDD-2149A | Authorization to Release Records | 08/01/2022 |
FAA-1828A | Provider Determination (English) | 08/01/2022 |
HRP-1005A | TEFAP Monthly Inventory and Participation Report (MIPR) (English) | 07/01/2022 |
HRP-1039A | Commodity Senior Food Program (CSFP) Participant Rights and Obligations | 07/01/2022 |
HRP-1033A | Commodity Senior Food Program (CSFP) ID/Transfer Card (English/Spanish) | 07/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
DDD-1795APAMPD | Dental Care Adult (Ages 21+) (English) | 12/01/2016 |
DDD-1751A | Responsible Driving Information Fact Sheet#6 (English) | 07/01/2016 |
UIB-1220A | The Following Information is Required to File a New Application | 06/01/2016 |
DDD-1745A-S | Vehicle Safety Buckle Up - Q&A's (Spanish) | 06/01/2016 |
DDD-1745A | Vehicle Safety Buckle Up - Q&A's (English) | 05/01/2016 |
UIB-1219B | How to File Your Weekly Claim (Bilingual) | 04/01/2016 |
UIB-1221B | How To Apply for UI Benefits (Bilingual) | 04/01/2016 |
DDD-1627A | FACT SHEET - Advance Directives End of Life Care (English/Spanish) | 06/01/2015 |
DDD-1627B | FACT SHEET - Blood Lead Poisoning | 06/01/2015 |
DDD-1627C | FACT SHEET - Immunizations (Shots) (English/Spanish) | 06/01/2015 |
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