You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1353A | Affidavit Attesting Citizenship for Cash Assistance and Nutrition Assistance | 05/01/2023 |
FAA-1565A-S | Acuerdo de Prueba de Drogas para recibir Asistencia Nutricional | 05/01/2023 |
FAA-0574A-SXLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) | 05/01/2023 |
FAA-1701A | Verification of Terminated Employment (English) | 05/01/2023 |
CCA-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
GCI-1033A-S | Resumen de la Conferencia de Transición | 05/01/2023 |
FAA-0098C | EBT Transaction Adjustment Hearing Request | 05/01/2023 |
FAA-0065A-S | Verification of Living Arrangements/Residential Address (Spanish) | 05/01/2023 |
FAA-1494A-XLP | Authorized Representative Removal (Extra Large Print) | 05/01/2023 |
DDD-1678A | Home Modifications Service Assessment (English) | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CCA-1259A | DES Certified Home-Based Child-Care Provider Pre Application (English) | 06/01/2019 |
RSA-1367A | Appeal Rights | 06/01/2019 |
RSA-1367A-LP | Appeal Rights (Large Print) | 06/01/2019 |
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 |
CCA-1262A | Home Inspection Checklist | 05/01/2019 |
SNA-1046A | Monthly Work Activity Report | 05/01/2019 |
DDD-1403E | Job Coach Agreement Individual Supported Employment Services (English) | 05/01/2019 |
SNA-1046A-S | Informe Mensual de Actividades Laborales (Monthly Work Activity Report) | 05/01/2019 |
DDD-1403F | Job Search Agreement - Individual Supported Employment Services (English) | 05/01/2019 |
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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