You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1768A | Overpayment Compromise Request Form | 05/01/2023 |
FAA-0255A | Separate Household Status Statement | 05/01/2023 |
DDD-1345A | Medical Justification for Home Modifications (English) | 05/01/2023 |
CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
FAA-1768A-S | Formulario de Solicitud de Reducción de Pago en Exceso | 05/01/2023 |
FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
GCI-1032A | IFSP Transition Meeting Invitation Prior Written Notice | 05/01/2023 |
FAA-0065A-XLP | Verification of Living Arrangements/Residential Address - Extra Large Print (English) | 05/01/2023 |
FAA-1494A-XLP | Authorized Representative Removal (Extra Large Print) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CSE-1007A-S | Encuesta de Satisfacción del Cliente | 09/01/2019 |
DDD-1532A-S | Hardship Reduction Request (Spanish) | 09/01/2019 |
CSE-1007 | Customer Satisfaction Survey | 09/01/2019 |
DDD-0403A | Reference Request (English) | 09/01/2019 |
RSA-1376A | Request for Vending Services Placement | 08/01/2019 |
UIB-0098A | Eligibility Investigation Record | 08/01/2019 |
DDD-0524A | Authorization for Release of Information (English) | 08/01/2019 |
UIA-1060A | Filing of Weekly Claims (English/Spanish) | 08/01/2019 |
DDD-1328A | Referral to Vocational Rehabilitation (English) | 08/01/2019 |
DDD-0524A-S | Authorization for Release of Information (Spanish) | 08/01/2019 |
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