You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
DES-1254A | DES Programs and Services List | 03/01/2023 |
|
DDD-1747A | Assisted Living Facility (ALF) Residential Facility (English) | 03/01/2023 |
|
WIO-1200A-S | El Programa de Reintegración RED | 03/01/2023 |
|
DES-1254A-S | Lista de Programas y Servicios de DES | 03/01/2023 |
|
LCR-1064A | Statement of Understanding-Application for HCBS Certification | 03/01/2023 |
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LCR-1064A-S | Declaración de Entendimiento Solicitud de Certificación para HCBS | 03/01/2023 |
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CCA-1312A | Provider/Parent/Guardian's Agreement for Non-DES Child Care Charges | 03/01/2023 |
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SNA-1005A | Employment and Career Development Plan (ECDP) (English) | 03/01/2023 |
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SNA-1005A-S | Employment and Career Development Plan (ECDP) (Spanish) | 03/01/2023 |
|
DDD-2176A | Residency Agreement (English) | 03/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
RSA-1312A | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
|
RSA-1312A-S | Autorización Para Divulgación De Información De Salud a RSA | 07/01/2019 |
|
CCA-1260A | Back Up Provider Application | 07/01/2019 |
|
CCA-1261A | Certified Family Child Care Provider Application | 07/01/2019 |
|
UB-099-Y | Certification of Understanding (English / Spanish) | 07/01/2019 |
|
RSA-1367A | Appeal Rights | 06/01/2019 |
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RSA-1367A-LP | Appeal Rights (Large Print) | 06/01/2019 |
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CCA-1259A-S | DES Certified Home-Based Child-Care Provider Pre Application (Spanish) | 06/01/2019 |
|
RSA-1367A-S | Derechos de Apelación | 06/01/2019 |
|
RSA-1367A-SLP | Derechos de Apelación (Letra Grande) | 06/01/2019 |
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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