You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
|
FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
|
FAA-0620A | Treatment Center Change Report | 05/01/2023 |
|
DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
|
CCA-1170AS | Petición para el Retiro o Terminación de Solicitud - Para Proveedores de Cuidado de Niños | 05/01/2023 |
|
FAA-0257A | Individual Development Account Agreement | 05/01/2023 |
|
FAA-1004A-XLP | Designation of EBT Alternate Card Holder - Extra Large Print (English) | 05/01/2023 |
|
CCA-1175A | Landlord Permission to Provide Family Child Care Service | 05/01/2023 |
|
FAA-0259A | Unwed Minor Parent Abuse/Neglect Claim | 05/01/2023 |
|
CCA-0221A | Family Child Care Provider Statement of Services | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
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 | 08/01/2022 |
|
HRP-1032A-S | Programa Suplementario de Comestibles Básicos (CSFP) Solicitud para Reunión Informal de Resolución de Disputas / Audiencia Imparcial | 08/01/2022 |
|
HRP-1052A | CSFP Notice of Action | 08/01/2022 |
|
HRP-1052A-S | Aviso de Acción del Programa Suplementario de Comestibles Básicos (CSFP) | 08/01/2022 |
|
GCI-1147B | Records Request Response (Contractors) | 08/01/2022 |
|
HRP-1041A-S | Programa Suplementario de Comestibles Básicos (CSFP) Aviso de Inscripción en la Lista de Espera | 08/01/2022 |
|
FAA-1570A | Cash Assistance Drug Conviction Sanction Agreement | 08/01/2022 |
|
HRP-1028A-S | Solicitud para Beneficios (TEFAP, CSFP) | 08/01/2022 |
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