You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
PPP-1127A-S | Authorization for Disclosure of Protected Health Information (Spanish) | 01/01/2018 |
DDD-0524A | Authorization for Release of Information (English) | 08/01/2019 |
DDD-0524A-S | Authorization for Release of Information (Spanish) | 08/01/2019 |
DDD-2351A | Authorization for Release of Information to DDD (English) | 03/01/2025 |
DDD-2351A-S | Authorization for Release of Information to DDD (Spanish) | 03/01/2025 |
DDD-2242A | Authorization for Transmission of Protected Health Information Via Unsecured Email | 09/01/2023 |
DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CCA-0100A-S | Información de las Operaciones de un Proveedor de Cuidado de Niños | 01/01/2023 |
LDU-1011A-S | Información importante sobre conflictos laborales | 06/01/2022 |
DDD-1370A-S | Información Sobre el Menor | 07/01/2018 |
UIB-1091A | Information Regarding Direct Deposit/Agreement for Direct Deposit (English) | 09/01/2022 |
UIB-1091A-S | Information Regarding Direct Deposit/Agreement for Direct Deposit (Spanish) | 09/01/2022 |
GCI-1043A-S | Informe De Evaluación Del Desarrollo | 04/01/2023 |
SNA-1046A-S | Informe Mensual de Actividades Laborales (Monthly Work Activity Report) | 05/01/2019 |
ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
LCR-1054A | Initial Application Worksheet (English) | 10/01/2022 |
LCR-1054A-S | Initial Application Worksheet (Spanish) | 10/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
Tribal Consultation Report 2013 | Tribal Consultation Report 2013 | 09/04/2013 |
Tribal Consultation Report 2014 | Tribal Consultation Report 2014 | 09/05/2014 |
Tribal Consultation Report 2015 | Tribal Consultation Report 2015 | 08/17/2015 |
Tribal Consultation Report 2016 | Tribal Consultation Report 2016 | 09/08/2016 |
Tribal Consultation Report 2017 | Tribal Consultation Report 2017 | 01/18/2018 |
Tribal Consultation Report 2018 | Tribal Consultation Report 2018 | 08/01/2020 |
Tribal Consultation Report 2019 | Tribal Consultation Report 2019 | 08/01/2020 |
Tribal Consultation Report 2021 | Tribal Consultation Report 2021 | 12/14/2021 |
Tribal Consultation Report 2022 | Tribal Consultation Report 2022 | 12/30/2022 |
Tribal Consultation Report 2023 | Tribal Consultation Report 2023 | 10/05/2023 |
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